Just a *quickie* to wish you a Happy New Year. May this coming year bring us all good health, happiness and peace. Norma Ritter [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 06:10:21 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Kathleen Bruce <[log in to unmask]> Subject: Mime Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Just a reminder. Anyone who has software that supports the MIME change (the way of the future, I am told) should be seeing things fine. Anyone else, whose email is screwed up..ie no lines between notes in a digest, can do one of two things. 1. Find out how to adjust the software so that it supports MIME. Supposedly, this is the way to go. First choice. 2. Do a Set Lactnet Nomime if you can't figure it out, chicken out, lose the manual to your software, etc...completely understandable, but second choice. : ) I myself need to adjust my own Eudora Pro to support this change, but I am gonna figure this out too. It's not just you who have problems....but the sysop would prefer that things stay this way if possible. So... My apologies for not answering the 50 emails that came my way due to this necessary change. Trying to kill 50 birds (wrong analogy, I guess : ) ) with one message. Thanks! Kathleen Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,Corgi-L,TLC, Indep. Consultant LACTNET site: http://www.mcs.com/~auerbach/lactation.html LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html ========================================================================= Date: Thu, 12 Sep 1996 11:14:44 +0100 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Duncan Broadfoot <[log in to unmask]> Subject: sandra lang Comments: To: [log in to unmask] MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII; X-MAPIextension=".TXT" Content-Transfer-Encoding: quoted-printable The Exeter address is old - Sandra moved some time ago. I am trying to = phone her to get her permission to post current address... Mary Broadfoot, Scotland [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 06:48:48 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: DANI HUDSPETH <[log in to unmask]> Subject: cup feeding MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable It's so nice to know that there are supportive people out there in = lactnetland who can advise and guide each other!! Thank you so much - = all who have responded to me so quickly about my cup feeding dilemma. I = am to present my case before our neonatologists and nurse practitioners = 1 week from today. Most of them do not even believe in nipple confusion = at all and are very skeptical that cup feeding could be an alternative. = If anyone comes up with anything else betwixt now and then, please let = me know. Thanks again!! Dani HudspethRNIBCLC [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 08:07:34 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Melissa <[log in to unmask]> Organization: The Nursing Corner Subject: Looking for ABM ads in Med. Journals Comments: To: [log in to unmask] MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Hello fellow Lactnetters and Lactivist members. I need to obtain an ad for formula from a medical journal to complete my final BSC lesson. I don't have any available in my area and was hoping someone else may be able to help me by faxing, mailing or attaching one to me on email. Please, let me know if you can help, my address and fax is below. Please notify me ahead of time if you intend to fax....I am online trying to get LacChat going most of the time now and the line is often tied up. TIA -- Melissa Brancho The Nursing Corner Fax: 814-624-0846 RD 7 Box 382 Voice: 814-623-9357 Bedford, PA 15522 E-Mail: [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 08:13:34 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Jane A. Bradshaw" <[log in to unmask]> Subject: Re: Dads in breastfeeding class In a message dated 96-09-11 10:59:39 EDT, you write: > >Date: Wed, 11 Sep 1996 00:45:22 -0400 >From: Ruthy Wilson <[log in to unmask]> >Subject: dads in breastfeeding class > > When I took my first baby home with me we were 30 miles from >civilization, (Champaign-Urbana Il.) WHO WAS IT who was there for >"clueless me" and my little precious baby girl....DADDY !!!!! >and NOT EVEN once did he suggest running out to buy formula when the Tear >Fairy visited me upon every latch-on.....HE listened diligently to our >childbirth educator when we took childbirth classes that included 1 hour on >breastfeeding. He remembered things I forgot...... > >.MOMS NEED the investment of >their partners the knowledge and the support they receive is critical to >success in a culture where mothers can't go to their moms for support "I >tried but I didn't get any support" (while dads waited in the waiting room >smoking cigars.....) Ruthy, You are a wise woman. Even though some dads don't want to be there in the beginning IT IS UP TO US to win them over. After all it is his baby too! I never would have made it without my husband wanting me to nurse, and all he knew about it was that formula came from "that DUMB animal he studied in his dairy science class." So even if they don't remember all the details, getting them in the right frame of mind helps the mom and babe. Many fathers now have grown up in small egocentric families, have never been around children, let alone an infant. They need reality therapy -- as a much as they can get, as quick as they can get it. Because pretty soon this helpless little being is going to be dependent on him, his judgement and his wisedom. If the father is against breastfeeding, it is almost impossible for mom to succeed. If he is neutral, she can do it, but must rely only on her own resources when she needs support the most. Ruthy, I LOVED all your ideas for involving the dads. They are wonderful. Hope people continue to post more. I'm not very creative, just a collector of ideas. Jane Bradshaw LLLL, RN, BSN, IBCLC Private Practice in very wet Lynchburg, VA (We are having MORE rain after FRAN!!) ========================================================================= Date: Thu, 12 Sep 1996 07:16:52 PST Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: KM Zeretzke <[log in to unmask]> Subject: Re: Breastfeeding after palate surgery Roberta, Great post! Thank you for taking the time to share your experience *and* supplying references.... I printed it to file and share with the next mom I see in this predicament. Please post me back if you object to this! Appreciatively, Karen Zeretzke, MEd, IBCLC ========================================================================= Date: Thu, 12 Sep 1996 05:52:19 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Larry D'Anna <[log in to unmask]> Subject: Re: asking for advice Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" At 01:37 PM 9/10/96 -0500, you wrote: >I'd appreciate any words of advice/wisdom Katherine, I don't have wisdom but I do have a gut feeling. I'd just offer your sympathy. Just make the first move, write or call him, ASAP. His isolation must be terrible. The loss of breastmilk is only one part of the overall tragedy. I agree that bringing it up by mail first will ease the first face to face meeting. Simply offer sympathy for this loss as well as all the other components of loss his family has suffered. Acknowledge this too is a loss, among the many. I think ignoring the issue, not speaking about the loss of breastfeeding, would be worse. He knows the value of breastfeeding, just as he knew the value of his living spouse. He and his family have suffered tremendous losses. Speaking about it probably won't be taken as a reprimand, especially from someone as sensitive as you, it will probably be a relief for him. So sad, Carla ========================================================================= Date: Thu, 12 Sep 1996 09:09:16 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Kathleen Bruce <[log in to unmask]> Subject: web page Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" I have just adjusted and improved my web page. I like to maintain a good series of breastfeeding links, and are currently gathering them together and inserting them in HTML format. If anyone has time, and can look, I would appreciate any input. Thank you. Kathleen http://together.net/~kbruce/kbbhome.html Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,Corgi-L,TLC, Indep. Consultant http://together.net/~kbruce/kbbhome.html LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html ========================================================================= Date: Thu, 12 Sep 1996 09:44:11 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Marilee Woodworth <[log in to unmask]> Subject: Paint exposure Hello, Does anyone know if it is safe for a breastfeeding mother to be painting rooms. I have a mom who is planning to paint using both oil-based and latex paints. She is breastfeeding a 4 month old. Thanks, Marilee Woodworth, IBCLC, LLLL, Ann Arbor, MI [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 09:55:24 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Margaret Ann Paxton, CCE, LLL" <[log in to unmask]> Subject: dads/men and BF info/classes Since LOTS of my BF teaching is in childbirth classes, the dads are usually already in attendance. They really appreciate the information. The most common reason I hear people give about why new moms "need" to have bottles in the house is so that DAD can be a part of the baby's life and won't feel left out. By giving information on how dad's can be a part of baby's life and part of breastfeeding (by helping the mom) they begin to see that giving a bottle, is detrimental to their babies and they have their "own" things they can do. Also, excluding dads gives a (maybe not so) subtle message that they can NOT contribute and are, in effect, a third wheel. And, it seems to me that I read somewhere that one of the main reasons moms often give for quitting BF is lack of support from the father. If you were feeling excluded and saw the only way to be included was to give a bottle... An interesting note, though. I once made a home visit, and while working with the mom in the bedroom, I left her brother (age 22, recent college grad) brother, their parents, and his fiancee watching a video on BF. About 10 minutes later the brother yelled out from the tv room, "Hey, sis, according to this video my nephew is having to twist his neck to eat. When I was watching this morning, you were NOT turning his whole body toward you!!!" I thought this was great. The brother and his fiancee planned to BF any future babies and I'll bet this guy would be offended if left out of BF class. There have been EXCELLENT posts on how to take the edge of embarrassment in coed classes and get dads involved, as well as how to deal with moms attending alone. Some LLL groups have enough energy to hold couples meetings and our group did it a few years ago. I would like to hold more, but need to find that extra energy and time that it would take. Margaret Ann Margaret Ann Paxton "If you don't know your options, you don't have any." ========================================================================= Date: Thu, 12 Sep 1996 09:14:06 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]> Subject: conference posts Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Carrie Edwards wants to know about whether conferences can be posted on Lactnet. The list-mothers (K.Auberach and K. Bruce) have said no, preferring to have this list be for discussion. I have a home page which is dedicated to publicizing conferences and other breastfeeding educational materials. It is called LACTNEWS On-Line, and the web address is below in my signiture line. Barbara Barbara Wilson-Clay, BS, IBCLC Private Practice, Austin, Texas Owner, Lactnews On-Line Conference Page http://moontower.com/bwc/lactnews.html ========================================================================= Date: Thu, 12 Sep 1996 10:16:56 CDT Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Marsha B. Mrtek" <[log in to unmask]> Subject: Re: Kaiser Permanente study In-Reply-To: Message of Wed, 11 Sep 1996 23:49:40 -0500 from <[log in to unmask]> Kathy A.: The Kaiser Permanente study was presented by: Christine Hoey, RN, IBCLC 101 Miramar Court Cary, NC 27513 (919)460-7825 It is still an internal document, but I'm sure she could give you info on how to cite the study. Marsha ========================================================================= Date: Thu, 12 Sep 1996 11:08:05 -0600 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: linda russell dunn <[log in to unmask]> Organization: Brigham City Breastfeeding & Active Birth Center Subject: areola firm MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit 1. check for anklyglossia, you must see the tongue raising to the roof of the mouth and also extending outward over the bottom gum and lip before discounting. 2. Place Mom and baby in nice, deep, warm water bath together to simulate a rebirthing experience, may take several tries, and at least 30 min per time.(e-mail me if you need more info - I love this technique I learned from Heather Harris - it CAN BE MAGICAL. 3. do "around the clock" (aerola) massage and expression compression (use proper technique) - ice and heat alternate before and after. 4. mom needs rest and a good relaxing massage, lots of good food and drink. 5. BTW, feed this baby mom's columstrum and milk via cup, spoon or syringe - do not use a firm rubber item in its mouth. Assess the suck carefully to check for clamped roof of mouth tongue position, sution 6. Us a dropper to stimulate and reward baby for latch attempts. 7. Have ped check for hypotonia, not enough muscle coordination or strength. 6. Use "dancer's hand" hold to support breast and baby's chin. 8. Maintain positive vibrations to mom as to her mothering ability.. encourage lots of "mushy" holding of baby. Really stress her importance to the baby with or without actually nursing. Say things like "He really loves his mom" "Oh, he just mushes right into your body, that's exactly where he wants to be." or things like that. 9. My personal experience with supplimenters(?) has shown me that the one with the soft plastic bag is often thought to be more mother-friendly" by the mom. However, supplimenters are not to be offered openhandely -- Believe me, if you have not personally used a supplementer, you simply DO NOT KNOW just how frustrating, tedious, time consuming, and difficult it can be. Any LC that gives a mom one without planning to spend many hours with her obviously does not know firsthand about these devices. They can be an incredible, wonderful tool but not without complete instruction and support. Well, I've certainly enjoyed pontificating. Love and hugs to you and your mom, and remember, time itself can be a great healer. Linda Russell Dunn, LLLL, IBCLC ========================================================================= Date: Thu, 12 Sep 1996 13:19:50 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Mary Lou McGee, RNC, IBCLC" <[log in to unmask]> Subject: Re: LACTNET Digest - 11 Sep 1996 to 12 Sep 1996 - Special issue In a message dated 96-09-12 08:56:46 EDT, you write: << Jane, I heartily agree that the best place to start when teaching new parents about breastfeeding is to incorporate the Dad into the education process. In our hospital setting, we initially offered our prenatal breastfeeding classes in the afternoon. Later, when we surveyed our mother's at the two week well-baby clinic visit, we learned that while our class times were convenient for the staff, they were, unfortunately, not convenient times for the expectant parents. We also teach a separate 4-week expectant parents class (one evening a week for 4 consecutive weeks). Someone came up with the idea to make the 4th class a breastfeeding class. It was an immediate hit. By the 4th week, the Dads were into the expectant parents class mode and were actually looking forward to attending the session. Guys seem to like gadgets & other electronic stuff. When we pass around the breast pumps, breast shells, nursing pillows, etc., they love it. Recently our lactation consultant & breastfeeding educator visited our local military PX shop (the one on the large post as well as the small one in our hospital facility). The buyer for our PX has agreed to to carry a better line of breastfeeding related items on their shelves. Therefore, when we send the Dads out to buy things that may be needed, i.e., breast shells, electric breastpumps (not the usual G----r & E-----o stuff, he will know exactly what to buy & what it is needed for. The PX shop agreed to place our business cards on the shelves so that if someone needed assistance or information, they would know who to contact. That's progress. Mary Lou McGee, RNC, IBCLC El Paso, TX ========================================================================= Date: Thu, 12 Sep 1996 13:25:32 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Bonnie Jones, R.N., I.C.C.E., I.B.C.L.C." <[log in to unmask]> Subject: Firm non-compressible areola If you have answers regarding the e-mail I sent last night while only half awake, please send them to me by private e-mail as well as answering to the list as I am currently NOMAIL. I don't know if I made it clear that I thought possibly a baby with a very strong suck (which this baby did not have) might have been able to latch onto the breast. Bonnie ========================================================================= Date: Thu, 12 Sep 1996 13:57:38 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Lisa Marasco, IBCLC" <[log in to unmask]> Subject: Re: Areola firm and non-compressible >>Baby was 24-hr. old, term, and had never breastfeed. He had been bottlefed at least 3 times. However, the nurses reported that he bottlefed poorly. The baby never opened her mouth wide enough to latch on. She cried whenever we tried to latch her onto the breast. << Bonnie, I take the compressibility issue very seriously, but I think that the worst problem is the other one that you mentioned, that the baby won't open wide and seems to suck poorly. You might consider screening this baby's birth history thoroughly for any type of unusual strain or trauma; sounds like a possible pinched nerve or related. I realize that we are then tredding in the territory of sacral-cranial specialist or chiropractor, but my primary focus would be a mechanical obstacle for this poor little one. As for mom's breasts, maybe the labor history has something to explain, maybe not. I also just saw a mom with very firm areolar tissue that was not terribly protractile. Baby *almost* latched on, and probably would have if I had tried pumping the breast down some first (baby was 7 days old, milk in). A mom with colostrum really doesn't have anything to "pump down", but I would still massage the areola to soften it. Again, I see this as the second issue, and if we don't figure out the first, the second may be irrelevant. My 2 cents, for whatever it is worth! Don't you love armchair LCing? ;-) -Lisa Marasco, BA, LLLL, IBCLC ========================================================================= Date: Thu, 12 Sep 1996 14:31:33 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Diane Barnes <[log in to unmask]> Organization: Maternal Expressions Subject: Jokes MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit A client came in today and told me this joke..... What do trains and breasts have in common? Their meant for the kids but the adults always play with them! And a friend of mine commenting about my bumper sticker last night that says "a breast a day keeps the dr. away." His suggestion was.... "A breast is a terrible thing to waste! ROFLMAO!! Diane Barnes Maternal Expressions Rosevill-Troy-Livonia, MI ========================================================================= Date: Thu, 12 Sep 1996 16:07:16 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Helen Schieve, LLL Leader" <[log in to unmask]> Subject: Re: Dental medications Hello Fellow Lactnetters: I have some questions that I am unable to answer for my dentist. I did not find Decadron or nitrous oxide listed in my Lawrence or Auerbach books. Does anyone have a reference that relates to breastfeeding and safety of these drugs? TIA Helen Schieve LLLL RN BSN ========================================================================= Date: Thu, 12 Sep 1996 16:18:55 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Karen Forsthoff <[log in to unmask]> Subject: Breast Lumps Hello to all, I posted several days ago about a breast mass while weaning my preschooler. I received several messages and found each one to be reassuring and informative. Thanks to all! My mammogram was negative. I have nursed very little over the past several months and did not experience any damage from the compression used in mammography. An ultrasound of the area in question was also negative. The appointment with the surgeon was uneventful. He listened attentively to my lactational history and after a thorough breast exam concluded that my breasts were completely normal. The surgeon compared the changes in my breast to the aging of a matress. What was springy during pregnancy and lactation is now more squishy, as if some of the springs were missing. My normal breast tissue is thicker on the lateral side and will slowly seem less prominent as fat returns to my involuting breasts. The cyclical pain and pseudolumps I felt were normal for me. The peace of mind I feel now was worth the hassle of testing and breast exams. If in doubt, find out!! Karen Forsthoff BA IBCLC ========================================================================= Date: Thu, 12 Sep 1996 13:28:25 PST Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: KM Zeretzke <[log in to unmask]> Subject: Re: areola firm Linda, Great post! Would you either post the rebirthing experience instructions to the list or if you'd rather not, would you email me privately? Thanks so much! Karen Zeretzke MEd, IBCLC ========================================================================= Date: Thu, 12 Sep 1996 15:55:14 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Rose Marie Straeter <[log in to unmask]> Subject: Chat Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" I want to echo what Nancy said about chatting - must warn you it is addicting though. It is great to talk to people across the world and in nearby states. When you are down they can pick you up and when you are rejoicing they can rejoice with you. It's like talking on the phone to a network of coworkers and friends but much less expensive. Try it - you'll like it Rose Marie Straeter, IBCLC B.A.B.Y. - Breastfeeding Assistance for Baby & You 1214 Southfield Road Evansville, IN 47715 812-475-0123 fax 812-475-8838 ========================================================================= Date: Wed, 11 Sep 1996 11:36:30 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Patricia Gima, IBCLC" <[log in to unmask]> Subject: dads in breastfeeding class Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Ruthy, I loved your post on the role of dads. I want to come to one of your classes! It sounds like the serious, defensive, heavy attitude doesn't have a chance in these classes. It feels as if you share what joy this whole thing can be. THANKS! Pat Gima, IBCLC Milwaukee ========================================================================= Date: Wed, 11 Sep 1996 11:36:29 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Patricia Gima, IBCLC" <[log in to unmask]> Subject: Re: Mom with really low milk...HELP! Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" She refuses to try Reglen, because someone told >her there was a slight risk of irreparable teret syndrome (Is this true? What are the side effects of Reglen, anyway?). Jay, I found A LOT of posts on Reglan when I was interested it learning about it earlier in the summer. My own experience with it was with a niece who became severely depressed ( a high risk, especially longer than 3 weeks' use) and she was hospitalized in psyc. hosp for three weeks, baby weaned, of course. I have also heard about t. syndrome as well as parkinson-like oral effects. One post relayed that the boost in milk receeds when the drug is discontinued. Personally, I feel that the drug's side effects outweigh the possible benefit to milk supply. If you have access to the Archives or to DB-TEST Search system you can get "miles" of info on Reglan. I like your suggestions on glandular and hormonal follow-up. I hope others will have further suggestions. Good luck on your move. Pat Gima ========================================================================= Date: Wed, 11 Sep 1996 11:36:32 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Patricia Gima, IBCLC" <[log in to unmask]> Subject: asking for advice Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Katherine, What a great sadness. I hope your sharing it with us helps you feel supported by us all. "My words carry the energy of my heart." I like to remember that when I want to speak and I don't know how to give word to the breadth of my feeling, and when I fear that I will be misunderstood. I believe that this dear man needs you as Friend Katherine to speak to him from your soul space to his soul space--to hear of his great loss. From that inner space we understand each other. If you go to him as Friend, that is how he will see you. He will have plenty of guilt--all over the place, but you know that you aren't responsible for it and he will need to tell YOU, especially, of his guilt of not providing his baby with the best, if that is an issue with him. He will need you, Friend Katherine, to say, "There, there." You will hear him, as few others can. You won't make light of his concern. I believe that our responsibility is to act and speak from our Truth, and that is all. My thoughts and tears are with you and this young family. Pat Gima, IBCLC Milwaukee ========================================================================= Date: Thu, 12 Sep 1996 18:41:14 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Alicia Dermer <[log in to unmask]> Subject: Re: Baby care booklet In-Reply-To: <[log in to unmask]> from "Melissa V Kirsch" at Aug 28, 96 10:04:20 am Mime-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Transfer-Encoding: 7bit Melissa: I've already posted about this USHealthcare booklet (see archives), and recently I had contacted them to find out what progress had been made since our entire family practice faculty had sent a letter of protest. I was informed that although there were plans for revising the booklet, things were "on hold" until the merger with Aetna. You can be sure I will be contacting them again soon. I'll keep you all posted. Alicia. [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 11:40:09 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Catherine Watson Genna, IBCLC" <[log in to unmask]> Subject: unusual involution pattern MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit I have a puzzler for everyone. A client whom I have been following for some time is nursing a toddler and has one lobe in one breast that appears to be involuting much faster than the rest of the breast, leaving a teardrop shaped depression in the breast (12:00, from nipple to periphery). I am unable to palpate any glandular tissue in this area, though it was there when I first saw this mom for oversupply at 4 months postpartum. The milk supply in this breast is reduced compared with both its former output and the contralateral breast. She was hospitalized last month for mastitis in the contralateral breast, and still retains a plugged duct. She reports nursing less on the involuting breast recently, as she has been favoring the plugged one in an attempt to ameliorate the plug and prevent recurrence of mastitis. Any thoughts as to how one lobe could be so much more involuted than the rest of the breast? What is the range of normal appearance in involuting breasts? -- Catherine Watson Genna, IBCLC NYC [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 21:05:59 AST Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Maureen White <[log in to unmask]> Subject: Dads/men, breastfeeding & re-birthing Hi everyone, Tonight's posts brought a couple of threads together for me and I'd like to hear about the thoughts/experiences of others along these lines. I've encountered a lot of fathers who feel strongly that involvement with baby=feeding baby a bottle and as we discuss the "other" kinds of involvement there is often some laughter, then serious interest in getting in the bathtub with the baby. One father (from a strong abm family background) recently spoke eloquently about how wonderful and fulfilling he found the times in the tub with his baby and how he found his "jealous" feelings regarding his partner's relationship with their baby melting away.Was this a sort of rebirthing experience I wonder? Linda Russell Dunn would you like to comment?? Maureen White RN MN IBCLC in Halifax, NS where it's starting to get dark too early! ========================================================================= Date: Thu, 12 Sep 1996 20:13:19 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Laura Alexander <[log in to unmask]> Subject: Dads at breastfeeding class At the hospital where I teach we have a 3 session Newborn Parenting class. The first two classes cover such topics as diapering, newborn characteristics, child passenger safety seats, crying, sleeping etc. The entire third class is devoted to breastfeeding. By the time we get to the third class I have "won over" the fathers and the couples have gotten a little more comfortable with each other. I insist that the fathers come to the third class and explain how they will be the major source of information and support to the new mothers. I have had many fathers question how I can possibly spend 2 1/2 hours on breastfeeding and they are all pleasantly surprised at #1 how interesting it is and #2 how I could spend that much time and still feel like there was more to offer. I have the Moms and Dads pass the "baby" back and forth in class each trying the different positions and correcting each other. If the fathers balk at this,which they rarely do, I remind them of how we are all aware that adult learners learn best by doing. The nurses on the floor tell me that they always know which couples have gone to my class because if they remember nothing else, they remember how to position the baby. I firmly believe in empowering these parents and the best way to do that is by providing them with information and confidence. I have been giving my home number out at these classes for 15 years and I have to tell you that I have more fathers call me than mothers. I believe that sometimes the mother is too overwhelmed to even make that phone call. I often wonder what would have happened if the father had not attended the class and thus not felt comfortable calling me. Regarding the "giving one bottle" issue I talk about how different the father's and the mother's roles are with the baby and how much the baby enjoys those differences. I talk about how the baby NEEDS the father as much as he/she NEEDS the mother but in different ways. I believe Wm. Sears addresses this in one of his books but I can't remember which one. I show 7-8 slides of fathers interacting with their babies in a variety of ways such as bathing, massaging, comforting, burping, playing. I too have found that the fathers really appreciate humor in the class. They really can be our biggest advocates. They have so much to offer the mother. They just don't know what it is yet and need our help in figuring it out. Laura Alexander ========================================================================= Date: Thu, 12 Sep 1996 20:34:20 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Lisa Updike <[log in to unmask]> Subject: Dads in class Lucy, I found this hesitancy also in connection to dads' presence. At our night time LLL meetings we used to invite dads, but several of the mothers complained that they felt hesitant to either bf in front of the men or to discuss intimate details or questions. Our attendance grew when we limited meetings to mothers. But this *is* for mother-to-mother support in addition to education so... I do think it is important to include dads in the educational process . They are the moms main support at home and many moms will give up before calling LLL or an LC if Dad says to. Convince him and you've won more than half the battle. Maybe some ice breakers at the beginning would loosen everyone up a bit so the discussion would be more open and less embarrassing for those moms and dads. Something fun so everybody feels lightened up a bit. Lisa ========================================================================= Date: Thu, 12 Sep 1996 21:17:43 EDT Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Jeanette F. Panchula" <[log in to unmask]> Subject: couples classes/groups When I lived in St. Louis my co-Leader Debbi Heffern and I got permission from LLLI to have a Fathers Welcome Group as opposed to a Couples Group (those dads who wanted to come were welcome, but moms didn't need to feel they had to "drag" dad there in order to be part of the group). As there were plenty of other groups nearby for moms to attend if they were uncomfortable with fathers' presence, we were granted a one-series permission. After each meeting we asked everyone to answer questions related to their level of comfort, etc. related to this "experiment". We found that not even the first-breastfeeding moms or the pregnant moms felt uncomfortable. With this evidence in hand, we were granted permission from LLLI to continue the "Fathers-Welcome" format. We found that after the first series, the fathers' interest dwindled, and they attended one or two meetings then stayed home with the older children or doing "whatever", but were very supportive of their wives' wish to continue attending. Our group moms were mostly middle-class, educated and many were employed outside the home. So, I guess the question is for the LC - what do you feel comfortable with and what is the goal of the class or group. There are reasons for doing things either way (with or without dads) and you're the best judge of what works best for you. Jeanette Panchula, BSW, LLLL, IBCLC, RN [log in to unmask] Puerto Rico - surviving Hortense on my bithday (49) with no water and no electricity (we have a generator, so I can 'keep in touch".) ========================================================================= Date: Thu, 12 Sep 1996 21:16:52 EDT Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Jeanette F. Panchula" <[log in to unmask]> Subject: non-compressible breasts Bonnie, What a coincidence! We had a mom in our hospital last Monday with the most non-compressible breast tissue and nipple and areola I had ever seen. In fact, I have 20 years in this and spoke to a Nursery nurse who has worked over 30 years and we both were amazed at these breasts. This was NOT engorgement. These were breasts so full of fibrocystic areas and previous surgeries that they felt as hard as a man's bicepts! My first thought had been breast implants, but no, I've seen those and the breasts usually have soft areolas. Mom was very determined and wanted baby to breastfeed and avoid bottles. Baby did not open mouth wide and nothing would compress into her mouth. As baby was still 6 hours old, I decided to try the Nipple Shield and see if she could draw in some breast tissue and nipple and nurse. The first time we tried this the tissue rubbed on the inside of the nipple shield (even though I had TRIED to S-t-r-e-t-c-h it over the breast. The next time I used some Pure Lan to allow it to glide better. Baby was on, stayed on and swallows were heard, so I encouraged her to keep working on this. I also gave her some breast shells thinking they would be necessary for the engorgement (I really couldn't imagine what those breasts would DO with engorgement). I would see her in the AM.. Well, the best laid plans of mice and men... and LC's - Hurricane Hortense came along and I was unable to get into town the next day. I assumed mom had given up and decided to bottle feed after trying to breastfeed and finding the nipple shield painful and uncomfortable. Today I got a call from mom. She has lots of milk, baby nursing well with nipple shield, using breast shells and at times baby willing to suck at right nipple without the shield. Her questions had to do with how to control all the milk she had - baby having 10 wet diapers and 4 stools. Never would have guessed this outcome in a million years - and hope to keep in touch with her to find out how it goes... Jeanette Panchula, BSW, LLLL, IBCLC, RN Puerto Rico [log in to unmask] ========================================================================= Date: Thu, 12 Sep 1996 22:09:54 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Sue LaLeike <[log in to unmask]> Subject: Re: Zealot Here's a suggestion for a Christmas.......or anytime.......present for Linda to give to the priest who disparages her work so: Find him a print of the painting "Rest on the Flight into Egypt" by Pieter Bruegel the Younger. It's reproduced in a copy we have of The Reader's Digest Book of Christmas. It shows the Holy Family resting in the shade - sort of a biblical-times wayside spot, with the donkey tethered in the background. Joseph is sitting slightly behind and above Mary, watching over her shoulder as she - gasp! - nurses baby Jesus................it's one of my favorite Madonna and Child paintings, and I have copies of many in my collection. In fact, when a dad ventures to say he's afraid of feeling left out of the breastfeeding relationship, I tell him about all the little things he can do to help, but I also like to bring out this book and show this painting, because I really feel one of the most important things a dad of a breastfed baby can do is watch proudly while the mother feeds the infant the perfect food. Sue LaLeike Lehigh Acres, FL ========================================================================= Date: Thu, 12 Sep 1996 16:49:13 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Patricia Gima, IBCLC" <[log in to unmask]> Subject: od on lactnet Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" My ISP deserted me yesterday--technical difficulties. This afternoon at 5:00 my internet connection was restored and my single Lactnet posts began SPURTING in. Within three hours I received 67 posts from you dear folks!! My eye balls are lying here on my keyboard, even as I type. I don't know a MIME from a breast lump or graphite balm. My daughters and I were playing Trivial Pursuit this week and a question for me was "What causes baker's itch?" After the last few months dealing with so much thrush, I screamed, "YEAST!" Then we roared with laughter at my getting that question. I had earned that piece of "green pie." Pat Gima, IBCLC Milwaukee (where Fullfeed is restored to the land of the internet.) ========================================================================= Date: Thu, 12 Sep 1996 23:30:29 +0000 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> Comments: Authenticated sender is <[log in to unmask]> From: MARCO ANTONIO MOURA REIS <[log in to unmask]> Subject: (Fwd) Breastfeeding Congress in the far South... MIME-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Dear Lactneters. I'd like to inform you about the I CONGRESSO DE ALEITAMENTO MATERNO DO CONE SUL (The First Congress on Breastfeeding for the South Cone's countries). It will take place by 26th to 30th of october in Joinville (SC) BRAZIL - it's in SANTA CATARINA State and not South Carolina. :-) More complete information can be found in the Darcy Vargas Maternity Hospital's Home Page : http://www.netville.com.br/~mdv/congress.htm (Sorry, it's in Portuguese!) The Maternidade Darcy Vargas is the 10th Baby Friendly Hospital in Brazil and the host of this congress. We'd like very much to see you in Joinville. Regards. MARCO MOURA ======================================== MARCO Antonio MOURA Reis, MD. Department of Neonatology Maternidade Darcy Vargas Joinville (SC) - BRAZIL E-Mail: [log in to unmask] ======================================== ========================================================================= Date: Thu, 12 Sep 1996 10:54:22 PST Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Trina Ammar <[log in to unmask]> Subject: Baby Friendly Hospital Initiative Dear Evi and fellow Lactnetters, Two hospitals in the US were reviewed this summer as a pilot inorder to find the most efficient way to inspect hospitals for the BFHI certificate. As far as I know the final outcome has not been published. I do know one of the biggest blocks to the BFHI is the problem with purchasing ABM supplies. And information is being gathered about that issue in order to help facilities comply in a cost efficient manner. How do I know? Our hospital was one of the few under consideration for the original review pilot. IMHO an institution may be saying they are a Baby Friendly Hospital becacause they are in compliance with the "Ten Steps to Successful Breastfeeding". But they cannot say they have been awarded the BFHI certification. Evi: What was the date of your visit to the Baltimore hospital? See ya, Trina Ammar, RNC, IBCLC Monterey, CA PS The Monterey Bay Aquarium says they will be changing their whale displays soon. I'll keep you posted. ========================================================================= Date: Fri, 13 Sep 1996 11:52:20 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Jon Ahrendsen <[log in to unmask]> Subject: BFHI Brainstorm help please MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable I will not go into the long struggle I am dealing with trying to get = BFHI embraced at our hospital (small 35 beds). Our current BF policy is = pretty much taken from the guidelines from the BFHI. Our big fault = still is the acceptance of free formula sample and the distribution to = mothers. Here is my request. Can you send me vial private email, Statements or = EXCUSES that you have heard or that you think you might hear that = purport to say why the BFHI cannot be implimented. Some examples I = thought of: We can't tell the mothers they can't use a pacifier. Our budget is not set up to purchase formula. Take any and all statements that you can think of and send them to me = via private email. I plan to use this statements in a = "point/counter-point" document so that I can address the concerns of the = "business as usual" crowd. Thanks for your help.=20 Jon Ahrendsen MD FAAFP Clarion, Iowa ========================================================================= Date: Fri, 13 Sep 1996 00:58:21 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Sharon Coe IBCLC <[log in to unmask]> Subject: Firm Breasts - poor sucking Bonnie, I too have had occasional experiences with new mothers whose breasts are non-pliable and difficult to get the baby to latch onto. No history of anything relevent. But they did have a lot of IV hydrating during labor. I will ask the mom if this is the normal state of her breasts (and frequently get looked at as if I were wierd) but the usual answers are either no or they don't know. I suspect that how their bodies handle the excess fluid they get may have something to do with it. As far as the baby not sucking well on anything, was she suctioned after birth? I sometimes find that those babies are hesitant to want anything in their mouths. Sharon Coe LVN IBCLC ========================================================================= Date: Fri, 13 Sep 1996 01:24:15 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Karen Stepan, D.O., IBCLC" <[log in to unmask]> Subject: latest from PEDS journal Hi Everyone: Just received my latest issue of PEDIATRICS (Sept 1996, vol.98 , no. 3). Some interesting things I thought I should share. The 2nd page has full double page ad on the "new, advanced formula Enfamil with added nucleotides." Gee, wasn't M-J just suing Ross to keep Similac Advance off the market because lack on any research that added nucleotides do any good ? Humm... To quote the add "The addition of nucleotides to our formula is our latest improvement, designed to bring Enfamil compositionally closer to breast milk. Now, with birth of our new baby, parents can be sure that their new babies are getting a formula that's closer to breast milk than ever before in Mead Johnson history" Gag me! NO WHERE in this ad does it mention that breast milk is the prefered and superior choice of infant feeding. Clearing a major code violation. Also, it gives no research data to back up their claims that added nucleotides are beneficial. Remember, this is THE journal of the AAP, a peer-reviewed, research based, well-respected, leading authority publication. I'm steamed, anyone else? Next, on page 434 is a study on the "Breastfeeding Practices Among Resident Physicians" The purpose of this study was to learn how employment as a resident physician affects the breastfeeding practices and experiences of female residents who are new mothers. A subject near and dear to me (times 3). 80% of the residents initiated breastfeeding, and continued for the duration of their maternity leave (mean, 7 weeks). The breastfeeding rate dropped to 15% at 6 months. Work schedule was the most common reason for discontinuing breastfeeding. Only 54% who continued felt supported by their attending physicians for their efforts to breastfeed (we're talking fellow pediatricians!) and 67% felt colleagues (other residents) were supportive. They concluded that the high bf initiation rate suggests that these mothers are aware of the benefits of bf but the poor continuation rate suggests that residency programs are often not bf-friendly environments for resident mothers. They suggested that residency program directors set standard policies for resident mothers to encourage breastfeeding. (yeah!) I'll believe it when I see it though. The thing that program directors and chief residents hate is someone that goofs up the schedule or does something totally inconvienent like having a baby and then wanting to breastfeed it! My approach was always to go straight to the attending and explain that I have an infant at home that I'm breastfeeding. It is important to me and the health of my child that I continue to breastfeed. I will have to leave for short breaks during the day to pump breastmilk (by now they are looking at the floor). I will not neglect any of my duties or in any way have this affect patient care. I'm sure you, being a pediatrician, understand how important breastfeeding is. Then I walk away and mostly leave them dumb-founded but impressed (I hope) by my committment. Amazing though that we have to convince pediatricians that breastfeeding is important (even during the usual 80+ hour work week!) Looking back I can't believe I lived through those days. Oh by the way, they spelled your name wrong Kathleen...... Auerback (!) Finally, same journal has the Academy statement on "Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia" They somewhat addressed the subject of the NPO period before surgery. Something that seems to come up all the time. I was disappointed to see that the breastfed infant was not discussed. All they said was that "recent studies have shown that the limited intake of a clear liquid (a liquid that you can see print through, such as sugar water or apple juice) up to 2 or 3 hours before anesthesia does not significantly increase the volume in the stomach or alter the pH of the gastric contents (both of which may increase the risk of aspiration pneumonitis)." So what do you do with that darn screaming breastfed infant who so inconvienently won't take a bottle of sugar water or apple juice? The research is out there. I use the 4 hour rule that is described in the Pediatric Clinics of North America, Pediatric Anesthesia. I wish, once again, that the AAP would address this issue so I wouldn't have so many frantic calls from parents after they've had a visit from the anesthesiologist. The AAP needs to teach what it preaches. If we want breastfeeding rates to go up we better support breastfeeding moms and infants in every way we can and stop the lip service. Karen Stepan, DO, IBCLC In beautiful Flagstaff AZ where the sky meets the San Francisco Peaks. ========================================================================= Date: Thu, 12 Sep 1996 22:17:35 -0600 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: linda russell dunn <[log in to unmask]> Organization: Brigham City Breastfeeding & Active Birth Center Subject: Rebirthing MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Thanks for your interest. Remember, it's not hop in the tub and voila! Plan for some quite time, darken the room, use candles or flashlight if needed. Also may need a little heater or pour warm water over babe and mom. My favorite resource is an ILCA 1995 (Scottsdale) Conference video by Heather Harris, an Aussie midwife. I loan my copy to SOMEONE (I don't remember who) that seemed desparate for the info and has not returned it yet, probably forgotten on a shelf somewhere - over 6 months now. I can't complain too much as I'm afraid I have done the same. My daughter, Kathleen, keeps reminding me to write these things down. (I'm not sure I can stand the 7 parents that mother me now and try to keep me groomed. But I do so love to be an embarassment to them from time to time) ========================================================================= Date: Fri, 13 Sep 1996 06:37:14 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Lesley Robinson <[log in to unmask]> Subject: New Year's Greetings Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Just wanted to wish all the Jewish Lactnetters a happy and healthy 5757. L'shana tova tikatevu. May you have a year of joy and good health. Lesley Robinson, IBCLC, LLL Leader Corning, NY ========================================================================= Date: Fri, 13 Sep 1996 06:51:03 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]> Subject: digests vs single messages Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" I am behind on things and skipped a few days of reading, so did not set my commands to obtain indiv. msg rather than digests. I had been wondering why I was only getting maybe one or two daily digests. Have I missed a bunch? Do I still need to switch, or does Norm know how things are working with the MIME well enough now that digest mode is ok again. Hope Kathleen will inform. And as always, many thanks to KGA and KB and Norm for making this forum possible for all of us. Barbara Barbara Wilson-Clay, BS, IBCLC Private Practice, Austin, Texas Owner, Lactnews On-Line Conference Page http://moontower.com/bwc/lactnews.html ========================================================================= Date: Fri, 13 Sep 1996 06:56:55 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]> Subject: rapid involution of one lobe Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Catherine Genna posts about an interesting weaning presentation where one breast appears to have a lobe which has involuted more quickly than the rest of the breast. I am always amazed by how little we understand the human weaning process. More is known about weaning in dairy herds, and I would consult the bovine lit. for ideas. Off the top of my head, since there is somewhat of a collapsed look to this area, I'd refer her to a doctor to make sure it isn't an induration. This can be a sx of cancer. If the look of it is simply that deflated look which happens when gland involutes and fat tissue has not yet regenerated, it just may be that this is a lobe which didn't (for whatever reason) get as much stim. as others and was producing less and shut down earlier. As mom is an over-producer, this may be a case where baby was pinching off while nursing to control flow and that breasts were unequally draining. That fits the presentation of the chronic plugs in the contralateral breast. Part gets drained, part stays plugged. Wonder if the other breast will demonstrate the same thing in the exact area of the plug. If it isn't draining, its will involute first, wouldn't you think? Barbara Barbara Wilson-Clay, BS, IBCLC Private Practice, Austin, Texas Owner, Lactnews On-Line Conference Page http://moontower.com/bwc/lactnews.html ========================================================================= Date: Fri, 13 Sep 1996 06:54:23 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: DANI HUDSPETH <[log in to unmask]> Subject: donating breastmilk MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable One of our recent NICU graduate moms has a baby who nurses one side only = at a feeding, so mom pumps the other side - gets about 8-12 ounces per = day this way. She caled wanting the number to a breastmilk bank. When = I got back to her a day or two later, she said she has found someone who = wants to use her breastmilk - a friend of hers who has AIDS. I told her = to let me know how his T-cell counts change after he starts drinking the = breastmilk. Have any of you had experience in this area? Your fellow lactivist, Dani Hudspeth RN IBCLC [log in to unmask] ========================================================================= Date: Fri, 13 Sep 1996 08:35:41 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Linda L. Shaw MD" <[log in to unmask]> Subject: Re: latest from PEDS journal As a fellow Pediatrician, I can't help but add my bit to the wonderful post from Dr. Stepan. Since the AAP is officially on record as supportive of BF, and the benefits of BF are well known, residency directors need to do everything possible to encourage extended BF by their peds residents. I'll bet that if one of the male residents suddenly had some medical problem or sustained a severe fracture during a vacation ski trip, he'd get plenty of sympathy and no flack at all about needed time off, accomodations for extended cast-wearing, etc. We do have numbers on our sides--over 40% of all medical students are women and women are becoming the majority in many pediatric residency programs. Keep pushing for humanization & BF friendliness of peds residency programs! I'm the mom of 4 kids, all BF for a full year, born after the end of residency. With the group I worked for at the time, I insisted on getting the kind of schedule I needed with 4 small kids and scheduled pumping breaks into the patient schedule. And this was between 1979-1983--the oldest of those 4 kids just started college. We also should comment on fomula ads to the AAP. The editors likely don't even stop to consider the content of the ads vis a vis BF promotion. The AAP has a web page at http://www.aap.org Linda L. Shaw MD, FAAP Altoona, PA ========================================================================= Date: Fri, 13 Sep 1996 06:11:36 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Tami Karnes <[log in to unmask]> Subject: Re: LACTNET Digest - 10 Sep 1996 Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" At 12:01 AM 9/11/96 -0400, you wrote: I'm not sure if I'm understanding the main issue. Is Mom worried that not breastfeeding for 10 days and not pumping, her milk will dry up? Or is the main concern that the child will be off the breast for 10 days? If the concern is the milk drying up, there are things that she can do herbally to stimulate milk production, while baby can't nurse. Let me know if you'd like more information. >Katherine A. Dettwyler, Ph.D. email: [log in to unmask] >Anthropology Department phone: (409) 845-5256 >Texas A&M University fax: (409) 845-4070 >College Station, TX 77843-4352 >Date: Tue, 10 Sep 1996 22:02:32 -0400 >From: Denhez Louise <[log in to unmask]> >Subject: Cleft palate, again >MIME-Version: 1.0 >Content-Type: TEXT/PLAIN; charset=US-ASCII > >Must be the Law of Series... After this adoption of a child with cleft >palate, I received a phone call yesterday from a mother I saw many months >ago for breastfeeding difficulties. It turned out that Baby had a cleft >in the soft palate only. After a long time of pumping, >breastfeeding finally went well. Baby is now 9 months old and is >scheduled to be operated on next month. Mother has been advised that whe >will not be able to give the breast for 10 days, and does not want to >pump (too time consuming, 'been there, 'done that, not to go throu that >again) but would dearely want to continue breastfeeding. So, she called >the other children hospital in Montreal, where the cleft palate >specialist simply stated that "these kids cannot bf anyway" and could >hardly believe that she was actually doing it (I know, we are in 1996, >but, hey, nobody wants to read the zealotry literature). >The operation: closing the soft palate, by pulling the muscles together. >The hard palate is intact, so no bone graft or whatever. But the mother >is being told that the child will not be able to drink with anything but >a cup for ten days, end of discussion. >How can we help saving that breastfeeding ? Suggestions ? References >(remember, we are talking to the Great Specialist Team here) ? >Thank you all in advance, > >Louise Denhez, M.D., M.P.H >Chargee d'enseignement clinique >Departement de medecine sociale et preventive > Wishing you health and wellness! Tami Karnes, Certified Herbalist One With Nature Reiki Practitioner P.O. Box 1724 Sedona, AZ Sedona, AZ 86339-1724 [log in to unmask] (800) 230-5166 ========================================================================= Date: Fri, 13 Sep 1996 08:33:40 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Rose Marie Straeter <[log in to unmask]> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Organization- a real struggle for many of us - I heard an organizational seminar that talked about not handling a piece of paper more than once - seems almost impossible to do. I can try it but it just doesn't seem to last more than one day. I am also interested in organizational tips - would love to hear from others My other problem is discipline - daily task that need to be done every day - any ideas for helping in that area? I also struggle with taking notes during phone calls and consultations - any ideas on how to implement symbols and abbreviations and make this task easier. It is so important - but need it to be quicker TIA Rose Marie Straeter, IBCLC B.A.B.Y. - Breastfeeding Assistance for Baby & You 1214 Southfield Road Evansville, IN 47715 812-475-0123 fax 812-475-8838 ========================================================================= Date: Fri, 13 Sep 1996 09:48:29 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Catherine Alliso Granju <[log in to unmask]> Subject: Breastfeeding Rates Broken Down by U.S Region/Socioeconomic Groups? In-Reply-To: <[log in to unmask]> Mime-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Can anyone point me toward info breaking breastfeeding rates down by geographic region of the U.S. and also by socioeconomic grouping in the U.S.? Thanks- Katie Allison Granju University of Tennessee College of Law Knoxville, TN ========================================================================= Date: Fri, 13 Sep 1996 06:49:52 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Denise Parker <[log in to unmask]> Subject: Re: Areola firm and non-compressible Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" I see this phenomenon happen frequently. The only common denomenator I find is that they always have had IV fluids during labor. They are so hydrated that they are edemous everywhere. It usually resolves within 3-5 days. Pumping helps some, drinking lots of fluids to help flush out the edema helps but all take time. Denise Parker, BA, IBCLC (La Crescenta, CA) To Avoid Criticism, say nothing, do nothing, be nothing ========================================================================= Date: Fri, 13 Sep 1996 11:05:44 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Marilee Woodworth <[log in to unmask]> Subject: Fathers at LLL Meetings Margaret, I appreciated your post about getting fathers interested and supportive of breastfeeding. Our LLL group invites fathers to one meeting out of the series. We rotate between the first three series meeting topics. For those of you not familiar with League Meetings, the series topics are 1. The Advantages of Breastfeeding 2. The Baby Arrives: The Family and the Breastfed Baby 3. Overcoming Difficulties and 4. Nutrition and Weaning. Anyway each series one of the first three meetings is designated as "Fathers especially welcome." It has worked very nicely. We are an evening group and there are other groups in our community which don't include fathers so mothers have an option if they are concerned about nursing in front of a man. It never has been a problem. The fathers that have come have been really supportive of their wives and those meetings are always interesting. This way we don't have to plan a special couples meeting. Marilee Woodworth, IBCLC, LLLL, Ann Arbor, MI [log in to unmask] ========================================================================= Date: Fri, 13 Sep 1996 11:19:45 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Wiggins <[log in to unmask]> Subject: Fixing the MIME Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Kathleen Bruce, Thanks for posting the info on how to get rid of the problems I have had for the past couple of months with Eudora Lite. All the Lactnet messages were crowded together and had a lot of unnecessary stuff like: MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" . I just told the Listserv to SET LACTNET NOMIME and it is all pretty and nice again!!! THANK YOU. Pam Wiggins, IBCLC, Franklin VA ========================================================================= Date: Fri, 13 Sep 1996 08:50:51 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "C. Ione Sims CNM/MSN/IBCLC" <[log in to unmask]> Subject: Nicole Bernshaw -- re review Mime-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Nicole, please email me privately. I have tried posting to you twice and had it bounce for some reason. Ione Sims, CNM, IBCLC ========================================================================= Date: Fri, 13 Sep 1996 12:15:50 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Kris Rogers <[log in to unmask]> Subject: Re: Organization MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Rose Marie, I have used the "Sidetracked Home Executive" method of organization for years. It has helped in both organizing and remembering everything from daily tasks of housework to keeping track of my pump rentals. Basically it is a card file system with a separate card for each task that is filed according to the day it is to be done, then refiled for the next time it is due. When I remember to pull my cards and look at them, it works very well especially for reminding me about those things that only need doing rarely, but need doing regularly like changing furnace filters, etc. I also keep all my pump rentals on cards in the same file so I know when each one is due back, etc. Hope this helps. I'm interested in other ideas as well. Kris Rogers, IBCLC Crystal Lake, Il ========================================================================= Date: Fri, 13 Sep 1996 14:10:57 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Sanna James, MS, RD thanks!" <[log in to unmask]> Subject: Re: bf rates by geog, socioeconomic grp, etc. In a message dated 96-09-13 09:50:58 EDT, you write: > Can anyone point me toward info breaking breastfeeding rates down by > geographic region of the U.S. and also by socioeconomic grouping in the > U.S.? > Thanks- > Katie Allison Granju My master's thesis was on "Infant Feeding and Weaning Practices of Low-Income Women in East Baton Rouge Parish Louisiana". I did a lot of background research (too much!) and I have many (about 60) 3-4 yr. old references on bf rates among various geographic regions, ethnic groups, socioeconomic groups, WIC program, etc. I emailed these to Katie and would be happy to email them to anyone else who might find them useful. Many references on rates in South. Email me if you'd like these. [log in to unmask] - Sanna James, M.S., R.D. Editor, Tiny Tummies Nutrition News http://www.ssas.com/ttummies/ ========================================================================= Date: Fri, 13 Sep 1996 11:28:00 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Athan and Nancy Kramer <[log in to unmask]> Subject: Re: Dads in BF Class MIME-Version: 1.0 Content-Type: text/plain; charset=ISO-8859-1 Content-Transfer-Encoding: 7bit I agree that it is sometimes difficult for women to discuss intimate details when men (other than their partner, usually) are present. By the same token, I imagine it must be hard for a woman to call a stranger (LC or PC) and talk about her breasts, nipples, etc! My very first client was a friend whose husband called our group leader and asked for help, and was referred to me. His wife had breastfed their first child with no problems at all and was now mortified that she was having difficulty with their second child, also mortified at the thought of asking anyone for help (even though she knew I was a LLL PC). But the Dad was educated enough about breastfeeding to recognize that there was a problem and, being of a different personality type perhaps? was not afraid to ask for help. I saw a picture once of an Asian woman breastfeeding an older child (over a year, I'd say) while a man (husband probably) is feeding her something with chopsticks from a bowl he is holding (mothers arms are full of baby). The mother is smiling almost rapturously as she accepts the food from her partner, the baby is nursing in utter contentment, and the father has a look of absolute pleasure on his face as he completes the wonderful circle by feeding his wife as she feeds their child. It's awesome. My husband fed me often when I was recovering from my C-section, mastitis, and nursing our son. Initially he had hoped to "bond" while bottle feeding, but he found that we (me and Aaron) needed him in so many other important ways. Nancy Kramer ========================================================================= Date: Fri, 13 Sep 1996 13:48:50 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Julie Graves Moy, MD, MPH" <[log in to unmask]> Subject: web page citation Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" I've cited this Kaiser data web page by giving the web address and the date on which I viewed it. Please post other citation recommendations to the list. Julie Graves Moy, M.D., M.P.H. [log in to unmask] http://www.bga.com/~jgmoy P.O. Box 4768 512-342-1624 (new) Austin, Texas 78765 512-342-1628 fax (new) ========================================================================= Date: Fri, 13 Sep 1996 15:06:30 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Janet Simpson <[log in to unmask]> Subject: Recurrent Mastitis...Help! Hi All, Well, here I am again! The day before my big move, and I have a questions for you! Please send replies to my private address of [log in to unmask] since I am not on Lactnet right now. :''( Mom is 31, 2nd baby 2.5 mo old. She has a history of recurrent bi-lateral mastitis with 1st baby. Finally gave up BF at 7 mo. So far she has had 7 bouts of bi-lateral mastitis with this baby (2.5 mo old) There are no problems with bra's (they were fitted properly by an expert I know), she does have a low immune system, and is taking herbs to help boost that. Sleeping on her side may or may not be a problem, she does NOT wear a bra to bed. But since this is almost always bi-lateral, I don't see how sleeping on one side would cause the other to get mastitis as well. SHe has tried antibiotics with the last bout (Keflex) with no help at all. What is my tired overworked brain missing? Could this be a case of stubborn mastitis that she will just have to deal with? (She is tired of always being sick and tired, if you know what I mean) Or could this be a staph/strep infection (How would she test for this?) Help!! I am so tired, I can't think straight. I think I will call her back and ask her if she has had her milk tested for strep, for starters. Any other words of wisdom? She is really commited to BF, but would really like to enjoy it. TIA!! Remember to post any replies to my private address of [log in to unmask] as well as to the list! Thanks! Jay ========================================================================= Date: Fri, 13 Sep 1996 15:38:30 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: the davis' <[log in to unmask]> Subject: pregnant and yeast Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Star- I'm not sure about the protocol for treating near delivery. However, she can take acidophilus, as I have posted about before. I, myself, had a vaginal yeast infection that would not go away with the usual treatments. 24 hours of high dose acidophilus, and BAM! it was gone. This will cause any problems with pregnancy and may keep many complications (sore nipples, cracks, mastitis, thrush, etc.) away. Let me know if you need more info. Lechia Davis, RNC, ACCE, IBCLC Maternal Instincts Danville, VA 24541 ========================================================================= Date: Fri, 13 Sep 1996 20:32:43 GMT Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Wendy Reddy <[log in to unmask]> Organization: AirSep Corporation Subject: BF In Public/NY Law Hello to my fellow LC Lactnuts, I need some help...have a client who was breastfeeding her 9 month old son in a restaurant and was told that she would have to leave, nurse the baby in the bathroom, etc. that she couldn't do it "out in the open". I advised her of the NY State Law giving women and children "the right" to breastfeed in public...a restaurant is considered a public place, is it not? (even if it's owned privately). This mom just wants the restaranteurs to be fined/penalized and in the process to learn that 0. breastfeeding moms and babies are the norm, not some perverted couple that need to be dashed off the scene. Are there lawyers that specialize in this sort of case? (we live in Niagara Falls, NY) What plan of action should my client take? Any help is sincerely appreciated! Sincerely, Wendy Lee Reddy [log in to unmask] ========================================================================= Date: Fri, 13 Sep 1996 17:10:54 -0500 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Cathy Liles <[log in to unmask]> Subject: Re: LACTNET Digest - 11 Sep 1996 Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Thought you all might be interested in this.:0 Cathy Liles CDC Prevention Guidelines Topic: Sudden Infant Death Syndrome (SIDS) Guidelines for Death Scene Investigation of Sudden, Unexplained Infant Deaths: Recommendations of the Interagency Panel on Sudden Infant Death Syndrome; 1996:06:21 >Guidelines for Death Scene Investigation of Sudden, Unexplained Infant Deaths: Recommendations of the Interagency Panel on Sudden Infant Death Syndrome MMWR 45(RR-10);1-6 Publication date: 06/21/1996 Although the etiology and pathogenesis of SIDS are unknown, increased risk for SIDS is associated with many maternal characteristics, infant characteristics, and environmental factors (12). The most consistently reported and potentially modifiable risk factors are lack of breast-feeding (11,13), exposure to tobacco smoke in utero (12 15) or during infancy (13,15), and the infant sleeping prone (12,16 18). Other factors associated with SIDS include male sex, low maternal education, young maternal age, high parity, the mother being unmarried, and late or no prenatal care (12). Some researchers have suggested that SIDS has multiple etiologies and that predisposing biochemical, anatomic, or developmental abnormalities may increase the risk of SIDS for infants (1). ========================================================================= Date: Fri, 13 Sep 1996 16:23:00 -0600 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Kate Hallberg <[log in to unmask]> Subject: Re: dads in BF class Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" At 01:21 PM 9/11/96 -0600, Susan Horein wrote: >Just brainstorming here, but what about having dads attend just one session >of your BF class, or just the last half hour, or something like that. My husband is pretty involved, overall but he always refers to himself as an 'ornament' at ob visits. He went to all but one with our daughter and he still says that. I think having the moms together for a class and then having the dads come in would tend to accentuate those type of feelings in men who tend toward those feelings. If there was a way to get the dads there in the first class it might lessen it, but the worst way to do it (I think) would be to have them come into the 'club' after the meetings have been going on. It's essential that dads learn about breastfeeding- and the risks of bottles could be covered at the first class. Maybe the middle class could be problem solving (bottles in the hospital, identifying low milk or pain...) for which the dads could participate. Just brainstorming here of course. :-) I liked covering breastfeeding in an ALACE class- the instructors assume that everyone will breastfeed and their assumption generally works out. There is a selection factor as the class I'm thinking of was not taught through a hospital or physicians office. This time I'll be taking a hospital based class with one of the ALACE instructors so that we get first hand experience with the quality of the education. Yes- We will be spies. Kate, mom to Ursula, 21 mos old, 2'9", 25 lbs ( 83.5 cm, 11.4 kg), and ??? due 3/30/97 in Boulder, Colorado. A study of 78 primiparas examined the role of prenatal intent and postnatal experiences in breastfeeding duration. Those fully breastfeeding 3 months after the birth of the baby had a higher level of education, timed their decision to breastfeed earlier, intended to breastfeed longer and had a more negative attitude to formula feeding. Commitment & confidence scores were not related to breastfeeding duration in first-time mothers. Breastfeeding duration was also related to the timing of the first breastfeed and extent of mother-infant contact in the 72 hours after birth but not to the number of feeding problems. - J Adv Nurs, 22: 5, 1995 Nov, 841-9 http://www.cs.colorado.edu/~kolina/Home.html ========================================================================= Date: Fri, 13 Sep 1996 18:44:50 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Cindy Curtis, RN, IBCLC" <[log in to unmask]> MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII I just received a new Tupperware catalog and guess what one of their new products is? A BOTTLE!!!!!!I love Tupperware and have used it for years, but now I am changing my tune. There www site is http://www.tupperware.com I am going to e mail them what I think about this,,,, whay cant they stick to bowls and stuff?? What is this world coming to! Cindy ~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~* * Cindy RN, IBCLC ~ ~ Virginia , USA * * [log in to unmask] ~ ~ http://www.summit.net/home/cindy * * ~ ~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~* "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) ========================================================================= Date: Fri, 13 Sep 1996 12:26:02 +0100 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Linda Cairns <[log in to unmask]> Subject: Cloth breasts? MIME-Version: 1.0 Content-Type: text/plain; charset=ISO-8859-1 Content-Transfer-Encoding: 7bit I enjoyed Karen's posting about Dads in the BF class - thank you Karen! Please could you explain about the cloth breasts that go with the doll in the role play. Are these home made, and if so how? Perhaps it is as obvious as it sounds, but I like to get the most out of a good idea. Linda Cairns Reading UK ========================================================================= Date: Fri, 13 Sep 1996 16:57:56 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Linda Pohl, IBCLC" <[log in to unmask]> Subject: Re: Areola firm and non-compressible Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" > It usually resolves within 3-5 days. >Pumping helps some, drinking lots of fluids to help flush out the edema >helps but all take time. Do you think it might help to use cabbage to reduce the swelling in the nipple area? If edema is the problem, perhaps this will soften the area. Linda Pohl, IBCLC Phoenix, Arizona USA [log in to unmask] ========================================================================= Date: Fri, 13 Sep 1996 16:57:51 -0700 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: "Linda Pohl, IBCLC" <[log in to unmask]> Subject: Re: Dads in class Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" At our night >time LLL meetings we used to invite dads, but several of the mothers >complained that they felt hesitant to either bf in front of the men or to >discuss intimate details or questions. Our attendance grew when we limited >meetings to mothers. The response to the LLL meetings that I used to lead had a rather large group with moms only, 14 - 18 moms. The moms asked us if dads could attend as well. With moms, dads, babies, and the three leaders our attendance topped out at 62! We advertised the meeting as fathers welcome and there were 18 other groups in our metropolitan area that were moms only. We finally settled with about 35 adults in attendance. About 1/3 were men. Linda Pohl, IBCLC, LLL Leader Reserve B.E.S.T.Fed Phoenix, AZ, USA Linda Pohl, IBCLC Phoenix, Arizona USA [log in to unmask] ========================================================================= Date: Fri, 13 Sep 1996 21:49:36 -0400 Reply-To: Lactation Information and Discussion <[log in to unmask]> Sender: Lactation Information and Discussion <[log in to unmask]> From: Kathleen Bruce <[log in to unmask]> Subject: mime Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Hi . Please, if you are having trouble with the MIME digests, please just do a Set Lactnet Nomime to [log in to unmask] Don't query Lactnet anymore, please. Thanks. Deluged with mail. Kathleen Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,Corgi-L,TLC, Indep. Consultant http://together.net/~kbruce/kbbhome.html LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html