Pat:
I wonder if the reason moms in my part of the country get gas from
cabbage is that they probably don't eat it frequently.
Jacie in cold Albuquerque, New Mexico
=========================================================================
Date: Wed, 11 Nov 1998 13:38:31 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Re: gassy foods
MIME-version: 1.0
Content-type: text/plain; boundary="----------------------------";
charset="iso-8859-1"
Content-transfer-encoding: 7bit
Michelle:
I certainly agree with you, most problems come from some form of
mismanagement of the breastfeeding by either mom or doc. As you have
certainly noticed in the past, things that experienced LCs know, still need
to be said occasionally for the new comers to the field. So rather than
bits and pieces spread all over, I'm just trying to compose a complete list
for those of us who'd like to have them for a reference.
Jacie in Albuquerque, New Mexico
=========================================================================
Date: Wed, 11 Nov 1998 14:51:57 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Maurenne Griese, RNC" <[log in to unmask]>
Subject: Rant from employed BF Mom
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Dear Ann Landers (and the other 2000+ people on Lactnet),
I've been quiet the past few days due to the back to work from maternity
leave frenzy in my life. A few weeks ago I shared my concerns about my
smart breastfed baby who doesn't want to take a bottle. She was taking the
bottle okay but now is absolutely refusing it despite my child care
provider trying every trick up our sleeves. So now I go feed her over
lunch and Christina, my childcare provider and I are all happy (we just
nurse, nurse, nurse, when we are together-no big deal).
I'm a little cooled down now, but earlier today, a co-worker commented that
she just didn't understand what the big deal was. She'll eat when she's
hungry, right? I just need to calm down. I wanted to say of course and
she'll be as insecure and unhealthy as your formula fed kids who are now
teenage punks!
No, I kept my mouth shut so I wouldn't put my foot in it. Just had another
co-worker make a similar comment. I'm about to just start telling my
co-workers when they ask how me and the baby are that we are fine, she's
fine, I'm fine, everything's fine.
Any suggestions on how I can tactfully tell these people (who formula fed
their kids, BTW) that just because she won't take the bottle doesn't mean
she's not hungry?
Ready to go back home!
Maurenne Griese, RNC, BSN
Manhattan, KS
=========================================================================
Date: Wed, 11 Nov 1998 23:18:22 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pamela Morrison IBCLC <[log in to unmask]>
Subject: Residents observing breastfeeding
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Jennifer wrote, " My supervising physician and I want to teach the residents
about how to handle some common (and uncommon) breastfeeding situations. We
wanted to take everyone up to the floor of the hospital to observe some
mothers nursing but that would be difficult with a largenumber of residents.
Any suggestions?"
During the BFHI 18-hour Workshops we teach the theory and then on the last
day we do the clinical sessions. We have anywhere from 18 - 30
participants. We assign each of them a mother, a History form and a
Breastfeed Observation form, and give them as much time as they need to
spend with the mom to fill out the forms, observe and assist with the
breastfeeding. Later we have each of them make a mini-presentation to all
the others about what they found. This takes a long time, but the results
are amazing. *Before* the clinicals you can look around and see many of the
participants thinking yeah, yeah! so what's the big deal about
breastfeeding? After spending time with a mom they come back with eyes like
saucers, hardly able to contain themselves for the wonder of it all, and
scandalized about what they now see to be impediments to successful
breastfeeding, "She gave her last baby PORRIDGE (gasp) at THREE MONTHS
(deep breath ..)!!" etc etc. All the mothers have different experiences, so
all the participants report on different things, and because they are all
(by now) so enthusiastic they all hang onto each other's every word!
Hope this helps as an idea.
Oh yes, and one of the totally unexpected side-effects I have observed is
that the *mothers themselves* really benefit from having the undivided
attention and total interest of someone for 30 - 45 minutes - someone who
wants to know all about this baby, and the breastfeeding, and the previous
babies, and by the nature of the questions asked, appears to *care* (the
participants all madly practising asking open-ended questions, reflecting
feelings, minding their body language, e g we insist that they sit at the
bedside, not stand - the whole caboodle). I have seen mothers seem totally
dejected when we walk in, and relaxed and smiling when we leave. Of course,
this is what the BFHI is all about - but it's still wonderful to *see*.
Pamela Morrison IBCLC, Zimbabwe
=========================================================================
Date: Wed, 11 Nov 1998 16:14:20 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Judith K. Campbell, RN, BS, IBCLC" <[log in to unmask]>
Subject: Prenatal breastfeeding class promotion
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
This is my first post to Lactnet so I'll introduce myself and try to keep it
brief. I joined Lactnet Sept. '98 and now know what it's like to be addicted
to something besides food! My DH is overjoyed that something finally got me
interested in the computer. I'm an RN,BS and IBCLC (since 1996) with an
interest in breastfeeding for 29 years and still learning about it and loving
it. I'm a transplanted (by my choice) midwesterner ,Illinois,USA and have
been in west Georgia for 6 yrs. I'm employed at a Rural hosp. in OB( by the
way my OB experience encompasses some 30+ yrs. of staff nurse in
nursery,postpartum, & L&D as well as 14 yrs as nurse manager, so I've seen
alot of changes) I've been the lone Lactation Consultant (meaning first and
only) for 9 mon. and have seen initiation rate more then double.. I have
very few attend prenatal brstfdg. class so am looking for ways to get the
word out there. I have no budget and am a part of the Mother/Baby unit so am
on my own . I plan to go to the OB and Peds. offices and talk briefly with
their staffs. I'm on good terms with all the DOC's ( I haven't been too
pushy). Do any of you have successful strategies that you'd be willing to
share, sources for ideas for brochures that really catch your attention?
Also source for clip art appropriate for use in Bfstfdg, brochures. Please e-
mail to me direct . Also if anyone has samples they would be willing to share
I will send them a self addressed ,stamped envelope.
I'm sorry this was so long, but I want to let all of you know how much I'm
enjoying and how much I've learned from all of you and looking forward to
learning much more!
From sunny southeastern USA where the leaves that are still on the trees
are glorious! Maybe we will get some of that cold and snow later.
Judy
=========================================================================
Date: Wed, 11 Nov 1998 16:30:02 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: selling out
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
Dear Kelly,
I think you have a real problem. If your partner cannot see why advertising
for formula companies is a problem, I believe you should find another
partner. I realize this is a pain in the neck, but it is not you who is the
fanatic. It is she. It is she who believes that advertising has no effect,
which is patently untrue.
Look at the ads in that booklet carefully. When do you see the baby crying?
Right, when they are talking about breastfeeding. When do they talk about
sleepless nights? Right, when they are talking about breastfeeding. When
do they show a happy alert, Chinese baby, with the caption, about teaching
him math formulas (cute, right?)? Right, under formula feeding. Why a
Chinese baby? Probably because no other group has been so influenced by the
information that breastfed babies have better cognitive development.
If you must do something about showing pictures like that, tear them out of
the book, and paste them on the walls. The parents to be can see the
pictures of the fetuses (feti?) and not see any ads.
Someone has to take a stand. If childbirth educators don't do it, who will?
Jack Newman, MD, FRCPC
=========================================================================
Date: Wed, 11 Nov 1998 16:38:35 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: migraines
Comments: To: Cindy Curtis <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
I agree that sumatriptan is not a concern. I have had several mothers use
it without problem for the nursing infant. Waiting four hours is
unnecessary, even if the mother did want to make sure most of it is out of
the body before feeding the baby. It has a short half life, probably about
1 hour, so that even two hours after a SC dose, 75% of it is out of the
mother's body. This is probably not necessary, though, as blood levels are
low, and *oral bioavailability* is also low.
I am not sure what the latest is on long term treatment. But some old
approaches are often useful. Propranalol has helped many people with
frequent migraines. It is not the answer for everyone, but worth a try,
especially since it is compatible with breastfeeding.
I am sure there are other non drug approaches to dealing with migraine.
Jack Newman, MD, FRCPC
=========================================================================
Date: Wed, 11 Nov 1998 16:39:49 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Halbert-Myers <[log in to unmask]>
Subject: Chloe Fisher film
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
I have seen the film Chloe Fisher uses, when I saw her many years ago
with Michael Woolridge. Excellent film footage. Any ideas on how to
get a copy? Does anyone know how to contact Chloe Fisher?
Thanks...Lee-Ann
=========================================================================
Date: Wed, 11 Nov 1998 16:43:30 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: jaundice
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
Check the handouts of the lecture I gave. The references on glucose water
actually indicate that glucose water interferes with breastfeeding when it
is given instead of breastfeeding. That is not what I was trying to get
across, and the people that are squawking have not read the literature.
What I am trying to push is the notion of sugar water (or better yet
expressed milk or expressed milk in sugar water) as a tool to *improve* the
breastfeeding (used with a lactation aid, not with a bottle, cup, finger
feeding or other). If the breastfeeding is improved (helping with latch
*first*, using *compression* and only afterward supplementing, *if
necessary*), the baby will become less jaundiced, because the baby will get
the colostrum which is *better* for the baby than formula (even for
jaundice).
Jack Newman, MD, FRCPC
=========================================================================
Date: Wed, 11 Nov 1998 16:45:05 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: wierd
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
Don't worry Kathy. Americans are not weirder than we think they are.
Jack Newman, MD, FRCPC
=========================================================================
Date: Wed, 11 Nov 1998 16:56:46 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Helen Armstrong <[log in to unmask]>
Subject: Jury system
MIME-version: 1.0
Content-type: MULTIPART/ALTERNATIVE;
BOUNDARY="Boundary_(ID_0gsMUSBMQIMekn1jaZlYCQ)"
--Boundary_(ID_0gsMUSBMQIMekn1jaZlYCQ)
Content-type: text/plain; charset=us-ascii
Content-transfer-encoding: 7BIT
I heartily agree with KA Dettwyler's articulate defense of the USA's
jury system, and would like to issue a challenge to US LactNetters that
we begin to use our court system proactively to defend breastfeeding.
Not just defending rights to breastfeed in public, but exercising rights
to sue for damages when institutional, professional or administrative
actions have casually ended the nursing relationship and medical
problems ensue for the child.
In our line of work, almost anyone can cite cases where breastfeeding
was terminated for indefensible reasons, and the child suffered severe
adverse consequences subsequently. We need case law developed around
these sequelae. It is probably at present easier to get damages for
falling off a stepladder and breaking an ankle than it is to get damages
for the lifelong consequences of conditions that make use of artificial
feeding unavoidable, when the mother was able and intended to
breastfeed.
A great principle of the US jury system is that ordinary people can
be open-minded, sensible, and fair; the system also excuses from jury
duty anyone who would not be able to understand the presentation of
evidence. I for one would value a jury of registered voters (many of
them parents, and all of them former babies) listening to a lawyer for
the baby's interests.
LactNetters in countries outside the USA may consider if their court
systems too would permit greater advocacy for the interests of
breastfeeding infants. Breastfeeding specialists in countries that now
have national Codes of Marketing have special opportunities to protect
children by ensuring that these Codes are followed, and perhaps by
filing amicus curiae briefs when court proceedings occur, as in
Guatemala and India.
Someone quoted Rabbi Hillel on LactNet recently, and aptly. I hope
I get it right:
If not us, whom? If now now, when?
--Boundary_(ID_0gsMUSBMQIMekn1jaZlYCQ)
Content-type: text/html; charset=us-ascii
Content-transfer-encoding: 7BIT
<HTML>
I heartily agree with KA Dettwyler's articulate defense of the USA's jury
system, and would like to issue a challenge to US LactNetters that we begin
to use our court system proactively to defend breastfeeding. Not just defending
rights to breastfeed in public, but exercising rights to sue for damages
when institutional, professional or administrative actions have casually
ended the nursing relationship and medical problems ensue for the child.
<BR> In our line of work, almost anyone can cite cases where
breastfeeding was terminated for indefensible reasons, and the child suffered
severe adverse consequences subsequently. We need case law developed
around these sequelae. It is probably at present easier to get damages
for falling off a stepladder and breaking an ankle than it is to get damages
for the lifelong consequences of conditions that make use of artificial
feeding unavoidable, when the mother was able and intended to breastfeed.
<BR> A great principle of the US jury system is
that ordinary people can be open-minded, sensible, and fair; the system
also excuses from jury duty anyone who would not be able to understand
the presentation of evidence. I for one would value a jury of registered
voters (many of them parents, and all of them former babies) listening
to a lawyer for the baby's interests.
<BR> LactNetters in countries outside the USA may consider
if their court systems too would permit greater advocacy for the interests
of breastfeeding infants. Breastfeeding specialists in countries
that now have national Codes of Marketing have special opportunities to
protect children by ensuring that these Codes are followed, and perhaps
by filing <I>amicus curiae</I> briefs when court proceedings occur, as
in Guatemala and India.
<BR> Someone quoted Rabbi Hillel on LactNet recently,
and aptly. I hope I get it right:
<BR>
If not us, whom? If now now, when?
<BR>
<BR>
<BR> </HTML>
--Boundary_(ID_0gsMUSBMQIMekn1jaZlYCQ)--
=========================================================================
Date: Wed, 11 Nov 1998 16:06:22 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: wierd
In-Reply-To: <003801be0dbc$8c6080e0$1c855ad1@Newman>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
At 04:45 PM 11/11/98 -0500, you wrote:
>Don't worry Kathy. Americans are not weirder than we think they are.
>
>Jack Newman, MD, FRCPC
That is so funny!!
I am sitting here trying to discern just what that sentence really says.
Patricia Gima, IBCLC
Milwaukee, Wisconsin, Upper Midwest, USA
mailto:[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 15:01:39 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Katte Smith <[log in to unmask]>
Subject: cats and nursing
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Kathleen and all,
I had two kittens from the same litter who both nursed on *anything*.
I always knew they had been weaned too early. One of the cats used to
nurse on himself! He would always have little hickies on his tummy.
:) Very annoying sound when your trying to go to sleep and your cat
is at the end of your bed suckling away! He was the best cat, though.
May he rest in peace. Now for his brother; how do I get him to stop
nursing on my fingers!? He is well past "weaning age" at almost 9
years old!! My other two cats (both from different parents) never had
any nursing/weaning issues. So, we're at a 50% rate here.
Katte
Orangevale, Ca
Mailto: [log in to unmask]
_________________________________________________________
DO YOU YAHOO!?
Get your free @yahoo.com address at http://mail.yahoo.com
=========================================================================
Date: Wed, 11 Nov 1998 17:09:18 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: The Hospital Scene
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Wow! This thread on hospital practices in the US is most distressing.
Actually the *thread* isn't what's distressing, it's the anti-health
practices that are so clearly defined here. It does help one to understand
why "American women can't breastfeed."
I used to give a talk at LLL conferences that I wanted to title, "How to
get out of the hospital with a breastfed baby." The title was considered
too confrontational so it was changed, but the content didn't change. And
after reading about what most mothers and babies are facing these days, I
should dig out those old notes.
Bonnie's explanation of why nurses do what they do in hospitals was quite
an eye-opener.
>THE COMMUNITY IS THE STANDARD, not research.
After reading all of your posts describing the poor health decisions made
in your hospitals I am even less hopeful of the medical profession's
embracing recommendations that are based on research or clinical studies,
or recommended by the ABM or AAP. It must be so frustrating for all of you
who work in hospitals as nurses, LCs, or physicians, to see harm done at
every turn and no one's doing anything about it because of ignorance, lack
of courage, and fear of liability. And when you come up with a
recommendation that is based on sound health, you are forbidden to follow
through or are demanded to "show your research" as if it would make a tad
of difference,
If you read back over the past week, one thing is quite clear...Most US
hospitals are not safe places in which to give birth. These are NOT places
of Health. Decisions are based on antiquated, hierarchical, inflexible
protocols that treat with little discernment. I would call little of what I
have read about this week "health care."
I was reading on the Reuters News Service last night that 40% of Americans
are using Alternative Health Care. The MD who was quoted said, "This trend
must be guided by scientific inquiry, clinical judgement, regulatory
authority and shared decision-making." Huh??! If it is so guided, it will
be new to medicine in the US.
I now have a better understanding of what I am up against in my attempt to
help mothers breastfeed their babies. It also explains the conflict I had
with a Ped a couple of months ago about a jaundice treatment decision. And
it explains a comment someone made here a couple of weeks ago about a mom
who had been using fenugreek and blessed thistle to increase her milk
supply. "The hospital staff were uncomfortable with the herbs so they gave
her Reglan." And they can always treat her depression with another drug,
all of which fits "community standard."
I have a better understanding of...it also explains..., but just look at
all of the needless harm. I am also left with a deeper appreciation of the
hospitals who have adopted Baby Friendly, and I hope that they can
internalize the spirit of Health that is implied in their decision.
I have much sympathy and appreciation for all of you who try so hard to
serve health in such settings. And I appreciate the calluses on your
foreheads.
Patricia Gima, IBCLC
Milwaukee, Wisconsin, Upper Midwest USA
mailto:[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 18:22:50 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Janet Vandenberg <[log in to unmask]>
Subject: Vahalla, New York
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
I am looking for an IBCLC in private practice near Valhalla, New
York.
Please email me privately if you know of anyone. I see one listing
in the ICLA directory but don't know if she is in private/community
practice.
--
Janet Vandenberg, RN, BScN, IBCLC
Newmarket, Ontario, Canada
[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 18:32:43 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: sharie aikins <[log in to unmask]>
Subject: formula supplementation
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
Need help!
The Peds at my hospital are pulling all low iron formula. My question: I
know that breastfed babies don't need any additional iron first 4-6 month
under normal circumstances, so if we need to supplement for whatever
reason docs give us (bili babies, low glucose, mom request, supplementation
at breast etc.) would the high iron formulas for short term supplementation
cause problems? Should we also have some low iron formula? Docs want
references and research. Any help you can give me will be greatly
appreciated.
Sharie
[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 18:35:32 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "NImperiale, RNC, IBCLC" <[log in to unmask]>
Subject: Employed BF Mom
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
Dear Maureen,
I sympathize with you concerning your situation with coworkers. With
baby #3 I returned to work at 3 months, one night shift a week. Rather than
jeopardize breastfeeding for the one bottle a week I went home on break to
nurse. My coworkers (OB nurses) were downright mean to me. That was the most
ridiculous thing they ever heard. After my third night doing this I was
reported to the Nursing Director for "jeopardizing patient care and absconding
with hospital funds." Those were the official comments in the report which
placed me on unpaid suspension for three shifts. As devastated as I was about
the comments I was happy to have 3 more weeks off. By the time I went back he
was sleeping all night. I continued to work at this hospital and am now the LC
(they paid for everything)!
If I knew then what I know now I would have called the newspapers and hired a
lawyer.
My advise is the less said the better. Many women seem to have a real
problem with breastfeeding....guilt, jealousy, sadness, feelings of
inadequacy, etc. Mothers who did not successfully breastfeed do not get the
concept that nursing is more than receiving breast milk. Know that you are
doing the best for you and baby.
Sincerely,
Nancy Imperiale, RNC, IBCLC
PS Only fellow Lacnetters know you didn't really mean that all formula
feeding babies turn into unhealthy, insecure teenage punks!
=========================================================================
Date: Wed, 11 Nov 1998 14:33:33 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Katherine Catone <[log in to unmask]>
Subject: Pets nursing -
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
I was surprized to even see this on TV and to hear the 'shock' that this
could be done -
We have had cats nurse puppies and dogs nurse kittens in our family ever
since I was a little girl! Have pictures of some of them! Most recently
when our Sharpei/Chow mix gave birth a couple - 3 years ago our cat who
had 'grown up' with the mama - nursed the puppy while the mama went back
to laboring! It was only a one time thing as far as I know - and I
didn't have a camera handy!
We had a cat who 'tandemed' her 3 month old kitten and her newborn
kittens until the younger ones were given away at 9 weeks or so, the
older kitten nursed for almost 2 years . . .
We have had 2 kittens who were very young, one was a pound kitten that
the vet said was only 4 weeks when we got her and the other was barely 6
weeks and both nursed for a long time - one on a 'silky' scarf and the
other on a cotton 'thermal' blanket - she would pull one of the threads
out as a 'nipple'.
I have a post card from the 50's or 60's of a hen sitting on a brood of
kittens!
I suspect this has been going on for a long time! After all where did
the idea for Tarzan come from!
Katherine Catone, LLLL, IBCLC
=========================================================================
Date: Wed, 11 Nov 1998 16:52:33 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: The Kitchen's <[log in to unmask]>
Subject: ethical outcome
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
To Coach Smith, Kathy Au. and all those generous with their suggestions:
I was able to speak with my partner again armed with your
suggestions and a copyof the WHO code, hoping to gently persuade her to
see things in my perspective. Unfortunately or fortunately it became the
catalyst that ended the partnership, there were other small issues as
well. It seems that the magazine was given to her by one of the GP's
[general practitioner] at the hospital where we both work. She felt
that he had far more medical credability than I and she did not want to
be chastised in the nursing community.{We are both working in a
small, small rural hospital). I feel bad for her, she does not have the
17 years of Nursing experience that I have to know, that in this world
you should answer only to your own conscience not the comments of
others.
I take this as a small step backwards but remember that the
"road to breastfeeding heaven is paved with good intentions".
Thank you again for your support,
Kellie Kitchen RN/IBCLC..."Primadonna" fanatic--a title I hope
that will fade away with time....hahah
=========================================================================
Date: Wed, 11 Nov 1998 15:56:58 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Melinda Hoskins, MS, RN" <[log in to unmask]>
Subject: Re: Jaundice and breastfeeding
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
The American Academy of Pediatrics practice parameter (which is a
recommendation voted by members of a committee asked to evaluate optimal
handling of this condition) related to treatment of hyperbilirubinemia
in the healthy newborn can be viewed at:
http://www.aap.org/policy/hyperb.htm
=========================================================================
Date: Wed, 11 Nov 1998 16:42:56 -0800
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: Prenatal bfg class promotion
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
My hospital has a wonderfully sneaky way to get parents to take all of the
prenatal classes, including breastfeeding. It's simple: we have a card that
the parents receive upon pre-registration that lists classes needed for new
parents and/or classes needed for experienced parents. Breastfeeding is on
both of the lists and can only be waived by the instructor. Every time they
complete a class, we sign it off on their card, and when the card is
finished, they turn it in to us for a certificate good for a car seat at the
local baby store. It amazes me how our class attendances rose when we
instituted this little hook to the car seat campaign. And I love it, because
I get a crack at them now! :-)
Lisa Marasco, BA, LLLL, IBCLC
Santa Maria, CA
=========================================================================
Date: Wed, 11 Nov 1998 19:43:37 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: teresa or juff glenn <[log in to unmask]>
Subject: publicizing prenatal breastfeeding classes
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
Judy,
My husband works for our local newspaper-- mostly rural area like
yours, small town, all that. They are more than happy to run stories
about these kinds of things. I would call the editor at your paper &
ask her to do a feature article on breastfeeding & your prenatal
breastfeeding classes. Most local TV stations also have a free public
announcement service where they will run notices of your events for
several weeks ahead of time (ours is called "The Community Calendar").
This is also free. I would call any media outlet you can think of--
newser, TV, radio, and ask about this & about free public service
announcements.
Our local paper ran several stories covering the front page of the
second section on breastfeeding recently. The number of moms in the
prenatal breastfeeding classes as well as the breastfeeding support
group skyrocketed.
You could also develop a handout to include in any "goody bags" the
OBs in your area are handing out to their patients. Pregnancy fairs
or women's health fairs are also good times to disseminate information
to parents.
Yours,
Teresa G. in NC
=========================================================================
Date: Wed, 11 Nov 1998 19:48:18 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "J. Rachael Hamlet" <[log in to unmask]>
Subject: Malpractice for BF Mismanagement
Comments: cc: [log in to unmask]
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7BIT
I gave a talk on these issues this past June, at a lactation consultant training (with
a great deal of assistance from Pris Bornmann, another lawyer-lactivist). Here
are a few thoughts to ponder.
However much I would love to put the fear of malpractice to work in favor of
mothers and babies, my understanding is that such a claim will be hard to make
stick in court. For one thing, as previously pointed out, it is the standards of
practice prevalent in the community that govern rather than the best standards
supported by research and reason. Second, you have to have some kind of
clear causal link between harm to the baby and the lack of breastfeeding. While
we all know that the population studies demonstrate the substantial risks of
artificial feeding, it can be difficult to demonstrate the precise harm to any
particular baby.
A narrower claim that is more likely to succeed, is what is called (not at all
facetiously) "battery with a bottle". If the parents have not given permission for
artificial nipples, and the baby is given them anyway, there is a colorable claim
for battery. Exemplery (punitive) damages can be assessed for the violation of
bodily integrity, even if the baby is completely unharmed. A few cases like this,
even if the amount of damages were not great, might go a long way toward re-
educating the doctors and nurses in maternity practice.
Rachael Hamlet
Lawyer and Lactivist
=========================================================================
Date: Wed, 11 Nov 1998 18:20:42 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Ruth Johnson <[log in to unmask]>
Organization: CyberHealth Consulting
Subject: TeleHealth Newsletter
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
FYI
BUSY SIGNALS
Issue # 17
November 10, 1998
Busy Signals is a FREE bi-weekly Electronic Newsletter
for TELEHEALTH CAREGIVERS
this newsletter can be viewed (in color) at the website
http://www.cyberhealth.bc.ca/busynewp
guaranteed to be a frame free, java free, smoke free environment
Subscription information? at website or mailto:[log in to unmask]
<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~
CONTENTS:
TELEVIEWS
TELEPUBLICATIONS
TELEHEALTH SPEAKERS
TELECONFERENCES
TELEHELP WANTED
Sample contents...............
<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~
TELEHEALTH SPEAKERS
****************************************
*NIKKI LEE RN, MSN, IBCLC, ICCE*
****************************************
Area of Expertise: Telephone triage and follow-up of Maternal/Child
concerns with a focus on supporting breast feeding.
Presentation: Words that Work! Based on the article that was published
in the Journal of Human Lactation, June 1997, this presentation has been
delivered to several groups around the US.
Contact Nikki at: mailto:[log in to unmask]
230 East Church Road, Elkins Park, PA, 19027 USA. phone 215-635-6477.
<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~~<>~
NEW RESOURCES TELEPHONE TRIAGE MANUALS
Ambulatory Innovations, Inc. distributes an excellent 4 volume series of
Telephone Triage protocols which are highly respected for their
comprehensive content and ease of use by non-physician staff. Authored
by Dale Woodke, RN, MA and developed in one of Indiana's oldest and
largest health plans, the series includes volumes on Triage
Fundamentals, Adult Protocols, Pediatric Protocols, and OB/GYN
Protocols.
These manuals have sold roughly 7,000 copies since their initial
publication, and they were recently completely updated in both content
and format. The protocols are also available on diskette. For
information, contact Ruth Johnson or Pete Townes (President of
Ambulatory Innovations) at 317/257-5750 - Be sure to
identify yourself as a "Busy Signals" reader. In Canada call
250/764/5399
http://ambulatory-innovations.com/quality.html
This entire Newsletter (8 kb) can be regularily mailed to your E-mail address......
Subscribe today. mailto:[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 20:18:07 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: LC in malaysia
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
is there an LC near sarawak, malaysia? or someone who knows a lot about
allergies (dietician, etc.) to help a mother sort out her diet, whose baby is
showing lots of signs of sensitivities to diet. now has eczema.
carol brussel IBCLC
=========================================================================
Date: Wed, 11 Nov 1998 20:19:05 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Cynthia S. Marske" <[log in to unmask]>
Subject: Mama Flora's Family by Alex Haley
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
Hello Lacnetters,
I watched a movie last night about several generations of african
americans evolving through the anti-segregation time in this country. One of
the last scenes with Mama Flora is where she gets dressed up in her Sunday
best to get a cup of coffee in a white's only diner. While she gets accosted
by many people in the diner one of them is a teenager who tells her she has no
place there. She tells him that she nursed his pappy, that he [the father]
has her milk inside of him and that milk is like blood. In other words they
are related by the fact that she wet nursed his father. He the teenager looks
rather shocked and leaves her alone. She gets her cup of coffee by the way.
I just thought it was a cool way of looking at breastfeeding. White blood.
Also, portrays breastfeeding in a semi-positive light on television which is
usually made to be degrading etc.
Just thought I would share this.
Greet
ings,
Cynt
hia S. Marske DO
In
wet Washington State
=========================================================================
Date: Wed, 11 Nov 1998 20:47:52 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Betsy R." <[log in to unmask]>
Subject: cure for hypoglycemia epidemic
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
One way to "cure" the hypoglycemia epidemic would be to NOT test all babies
routinely.
Our protocol ( which was accepted by our pediatric department) calls for the
testing of babies of diabetic mothers, babies under 5 pounds and over 9
pounds( the old 4000 grams thing), and any baby, who in the nurse's
estimation, has any form of traumatic birth ( gut feelings and nursing
judgement rule here).
Many of our pediatricians also allow us to discontinue the protocol ( every 30
minutes x2,every hour x2, and every 2 hoursx2) if the baby remains stable
after three sugars( especially in babies who are just LGA with no history).
Betsy R.
=========================================================================
Date: Wed, 11 Nov 1998 20:49:03 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Katie Allison Granju <[log in to unmask]>
Subject: malpractice and BF mismanagement
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
In a message dated 11/11/98 8:21:17 PM Eastern Standard Time,
[log in to unmask] writes:
> Second, you have to have some kind of
> clear causal link between harm to the baby and the lack of breastfeeding.
> While
> we all know that the population studies demonstrate the substantial risks
of
> artificial feeding, it can be difficult to demonstrate the precise harm to
> any
> particular baby.
>
I believe that the causal link between cessation of breastfeeding and
subsequent illness is nearly impossible to make in a potential malpractice
case. For this reason, the harm needs to be identified as *the loss of the
breastfeeding relationship itself*. The US Supreme Ct has already defined the
breastfeeding relationship as an intimate familial tie. I believe that the
next step is to have a case where the mother sues the negligent HCP for loss
of her nursing relationship just as she would sue for loss of consortium if
sexual relations were no longer possible with her partner due to medical
malpractice.
Katie Allison Granju
Knoxville, TN
=========================================================================
Date: Wed, 11 Nov 1998 21:09:05 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Elisheva S. Urbas" <[log in to unmask]>
Subject: Re: Maurenne's coworkers & her hungry baby
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
In a message dated 98-11-11 16:25:59 EST, you write:
<< Any suggestions on how I can tactfully tell these people (who formula fed
their kids, BTW) that just because she won't take the bottle doesn't mean
she's not hungry? >>
The best thing I think is to bring the discussion away from the question of BF
per se to the larger matter of doing what's good for one's own child, and tell
them, "You know I think everybody gets to know their own kid. I'm glad I've
found a way that works for me and my child." After all it is true that she
would probably ultimately take the bottle if she got hungry enough; you just
choose not to have that kind of one-sided negotiation with your child. You
don't tell them how to interact with their child; let them mind their own
beeswax about yours.
For what it's worth, when I went back to work when my older daughter was about
the age that your Christina is now, she never loved the bottle much but
ultimately took it specifically for hunger, not for comfort -- she would take
an ounce at a time all day, just to keep the edge off until her Ima got home
with the real stuff. Again, it was what worked for us.
And there's a cup option, too, if she does get unavoidably hungry before you
get home...
Feeling great empathy in NYC,
Elisheva Urbas
=========================================================================
Date: Wed, 11 Nov 1998 21:09:03 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Elisheva S. Urbas" <[log in to unmask]>
Subject: Jury duty rant
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
I am generally in agreement with Kathies Dettwyler and Auerbach on this (not
really bf related) subject, but wanted to point out also (for nonUS readers
and others) that in the United States there are 50 different state
jurisdictions and eleven federal ones; so there is a lot of variability in who
serves, how easy it is to be excused from duty, how frequently one does or
does not serve, etc etc. It's a big country, and there a lot of views of it
that can be simultaneously correct even if apparently contradictory.
Milder than ranting really, Elisheva Urbas
(married to the legal system, uh, I mean, to a lawyer...)
=========================================================================
Date: Wed, 11 Nov 1998 21:13:01 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Sharon Galvin,Rn" <[log in to unmask]>
Subject: Re: Nipple shields and informed consent
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
In our hospital we have a dual form that is filled out and signed by the nurse
initiating the sheild. It has a consent form along with an instruction form on
using the shield as well as cleaning the shield. It is given when the shield
is initiated. I have found that the nurses try harder to avoid using the
shield when they have to sign a consent form with the patient and we have
dropped our rate of shield usage from about 3/month to about 2 every 4months.
The instruction form given with the shield then has to be reviewed with the
patient so that everyone is aware of the pros and cons to shield use.
Good luck
Sharon Galvin, RN, IBCLC
Lowell, Mass.
[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 21:31:34 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Elaine Ziska <[log in to unmask]>
Subject: legal issues
Comments: To: [log in to unmask]
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
Helen,
What a wonderful post about using the legal system! In Mississippi our
Attorney General, Mike Moore received a *lot* of flak for targeting the
tobbacco companies - until he brought in a mega-buck settlement (which spawned
suits from other states and action by the federal government, looks like
everyone will be getting a piece of the Marlboro man).
I think the main issues were: 1. marketing to the vulnerable (teenagers) 2.
withholding scientific evidence about the risks. 3. The increased health
costs borne by the state (for medicaid patients) as a result of the product.
I don't see how the formula companies are any less culpable. The fact that
the state (through WIC) also purchases the formula doesn't have to weaken its
case (it could strengthen it).
Other activist groups have been very successful at using the court system to
further their causes. Why not us?
Patricia Gima writes:
<< to see harm done at
every turn and no one's doing anything about it because of ignorance, lack
of courage, and fear of liability.>>
Well, let's educate the ignorant, inspire the cowards (with our own courage,
for starters) and *use* the fear of liability. Force the decision makers to
really weigh the risks of formula use (to the babies, moms *and* themselves).
Same thing with birth - when women start to sue over the interventions that
*were* performed instead of just the ones that weren't, then the decision
becomes a little tougher for the HCP with his/her eye on the courthouse. For
those wonderful HCPs who have their eyes on the *patients* - well, numerous
studies show that even when they make mistakes they are far less likely to be
sued because of the rapport they establish.
Sooooo....what Lactnetter wants to run for Attorney General (Mike Moore is on
his way to the Governor's mansion)? How 'bout Patricia Gima for President?
Elaine Ziska
Jackson, MS
(where I hope to have a few more days to make basil pesto before we get a
frost that wipes out my garden)
=========================================================================
Date: Wed, 11 Nov 1998 20:02:44 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Forrest Peters <[log in to unmask]>
Subject: ok.....NOW WHAT????
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Hi All,
I have gotten myself into trouble with an MD at the hospital I work at.....
To set the stage here....he is a constant complainer...we had to get rid of
one of our LDRPs to create a delivery room just for him...he also gets
himself involved in ALL sorts of stuff that he really knows nothing about.
Also before I get into this you shold know I have my supervisors full support.
I am a RN....IBCLC and certified CB educator. I teach CB classs, BF
classes, do lactation consultant work and I do most of the exams on the
babys that come back for a check up 2 days after D/C. I also staff the LDRP
1 day a week and train new employees. I am not extremist in any way. I
also have a very small breast pump rental/sales business that is run for
the sole purpose of having the service avaliable...I make NO money at it
what so ever.(some of you can probably see the direction this is going!!)
I also field calls at my home 7 days a weeks at no charge to BF moms and I
am not reimbursed in any way for this....I do this to help moms.
Wellll......first this MD was questioning interventions on moms with early
problems...such as no latch and beginning a pump (from the hospital floor
pumps....not my pumps... at no charge to mom) to induce lactation...most
had a baby that was nursing by discharge and had no need for any further
intervention. He does not "belive in" inverted or flat nipples....true
some kids will nurse on anything but many won't.
He recently made the comment that "the hispanic women do it right"...in our
community we have a large Mexican population and their norm is to not BF
until milk is in and most kids will still latch on even though they have
recieved many bottles....of course what this MD does not see is the very
early weaning & supply problem later D/T not enough early stimulation.
He stated that if a baby won't easily nurse then he should not be nursed
and mom should be encourage to formula feed instead of "over-intervening"
with the BF. I have to say that this "over-intervention" has gotten most
babys to breast and for those that did not get there, the mom was gratefull
for the support from me until SHE was ready to move on to formula....with
instuctions from me on weaning and bottle feeding in a nurturing way...I
never push in any direction ...I give options and support.
The very last comment by him was that he believes it is a conflict of
interest for a LC to be selling/renting pumps.....personally I have always
been more comfortable discussing my lactation needs with the 16yo employee
in the baby section of Kmart... ;)
***Also I make my moms very aware of the other sources for these
supplies.....such as a local pharmacy. The hospital i work at is not
interested in selling or renting pumps, so that is not an option.
None of this was said directly to me....he walks around and mumbles stuff
to everyone else...my supervisor says to not worry...however i am upset...I
am fearful that he will take this to the OB commitee in the hospital and
make a big stink. I am also upset that he has really insulted my integrity
as in insinuating I push stuff on women
(not true....I have several calls a month form moms who "think" they need
pumps and after we discuss the situation and determine the need (ie stay at
home mom always near baby...) I would instruct on manual expression.
My plan......confront this man :( .....I'm not looking forward to
it but letting him know what I do & how it helps ect. Also I will print up
a directory of all local pump stations and I will not discuss my pumps at
the hospital. My co-workers will help me here...also i have been around for
3 years and moms know what I have avaliable by word of mouth...they ask for
me by name.
Any other ideas??????
thanks....lori p
=========================================================================
Date: Wed, 11 Nov 1998 22:34:39 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanette Panchula <[log in to unmask]>
Subject: California LC's
MIME-Version: 1.0
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain; charset=ISO-8859-1
This is a note to California LC's - are you thinking of some way to acces=
s
the funds created by the passing of Prop. 10? The funds are supposed to =
be
collected from cigarette tax and spent on prenatal and early (before age =
5)
development to assist in increasing the learning capabilities of
California's children.... Sounds like breastfeeding would fit right in!=
Jeanette Panchula, BSW, RN, IBCLC
Vacaville, CA
and looking for a job....
[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 23:05:34 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: "free stuff" thought for the day- parachute
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
Regarding accepting "free" samples, "free" literature, "those" breastpumps,
and "gift packs"...
My thought for the day is:
"Would you accept a parachute from someone who has a vested interest in you
hitting the ground?"
Gail
Gail Hertz, MD, IBCLC
Pediatric Resident
author of the little green breastfeeding book - disclaimer: owner of Pocket
Publications
=========================================================================
Date: Wed, 11 Nov 1998 23:13:00 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Suzanne Millies <[log in to unmask]>
Subject: Re: LACTNET Digest - 28 Oct 1998 to 29 Oct 1998 - Special issue
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
The latin name for Blessed thistle is Cnicus Benedictus and two different
German
names for it are Bitter distal and Benedikten Kraut. Fenugreekis fenum
graecum or Griechisches Heu in German.
=========================================================================
Date: Wed, 11 Nov 1998 23:33:21 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Marie Davis, Rn, Clc" <[log in to unmask]>
Subject: hip dislocation
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
<<Since delivery mother has had numerous episodes of hip dislocation
[bilateral], and now has a fractured foot. Her orthopedic doc is telling her
he feels that hormonal influence/relaxin are contributing to the hip
dislocations and is advising her to wean infant immediately. >>
I agree with Dr. Jack !! It isn't the breastfeeding that's causing the
dislocations. But it is always the easiest to blame when they don't know what
the problem is.
I ran into the same problem (I had a total hip at the time). Several doctors
told me it was the breastfeeding and relaxin; which lasts for up to six months
post partum BTW. [For me it turned out that I had mismatched parts. I know I
posted about this a long time ago, look for a post under my name in the
archives.]
Tell mom to see a brace maker. There is one made especially for this problem.
It is made of neoprene and looks like a gun holster--it goes around the waist
and around the leg. It is tight and provides external support. They will need
to lengthen the leg part of the holster by about 3 inches to get the right
fit. It worked very well for me and I could wear it under my clothes. Once she
has the external support she needs a good physical therapist to strengthen her
muscles.
Marie Davis, RN, IBCLC
=========================================================================
Date: Wed, 11 Nov 1998 22:58:40 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: Rant from employed BF Mom
In-Reply-To: <862566B9.00714938.00@vc_nt7>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
>I'm about to just start telling my
>co-workers when they ask how me and the baby are that we are fine, she's
>fine, I'm fine, everything's fine.
"Ann Landers" here:
Do it! Tell them that everything is "fine"-- because it is. Be selective
to whom you tell the teeny weeny parts that are less "fine."
You won't be able to enlighten them to the joys of breastfeeding nor will
you be able to convince them that your going to feed your baby at midday is
not an unbearable burden. You'll just have to settle for knowing,
yourself, that you and your baby are so fortunate that you are able to make
such a "fine" arrangement.
It is not the bottle and your baby's hunger that they don't understand;
it's the relationship and the connection. After a bit, it will be a non
issue to them. New babies and what we do with them always stirs up
emotions and opinions. I'm sorry that you don't have people around you who
rejoice in your growing relationship with your little one. Just take all
of us with you.
Patricia Gima, IBCLC
Milwaukee, Wisconsin, Upper Midwest, USA
mailto:[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 23:19:47 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: legal issues
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
>Sooooo....what Lactnetter wants to run for Attorney General (Mike Moore is on
>his way to the Governor's mansion)? How 'bout Patricia Gima for President?
Elaine, I already ran for President and won!! I am the current president of
the Wisconsin Association of Lactation Consultants. Under-educated Health
Care Preven...Oops! Health Care Providers had better watch out!
Patricia Gima, IBCLC
Milwaukee, Wisconsin, Upper Midwest, USA
mailto:[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 22:07:30 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Monique Schaefers <[log in to unmask]>
Organization: Daryll Design
Subject: photos of BF babies
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
A sight with great photos of BF babies. Not a bottle in the bunch -
that I've seen so far.
http://www.fotos-online.de/english/index.htm
--
Monique
Noah Reilly Schaefers 6/18
[log in to unmask]
=========================================================================
Date: Wed, 11 Nov 1998 22:11:23 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Monique Schaefers <[log in to unmask]>
Organization: Daryll Design
Subject: GFI and Ezzo's critique
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
The following website has a critique of GFI and the Ezzo's. CCLI is the
Couple to Couple League International. They are a non-profit and
interfaith group about Natural Family Planning. They enthusiastically
support breastfeeding especially as it relates to NFP.
http://www.ccli.org/foundations-ezzo.htm
--
Monique
Noah Reilly Schaefers 6/18
[log in to unmask]
=========================================================================
Date: Thu, 12 Nov 1998 17:28:49 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Boisvert-Mackenzie <[log in to unmask]>
Subject: Pohnpei to Saipan
Mime-version: 1.0
Content-type: text/plain; charset="us-ascii"
Greetings Lactnetters,
I recently packed up our household and said goodbye to Pohnpei (although
Lois Engelberger is still there and will keep us updated on the most
wonderful breastfeeding situation there) to join my husband in Saipan. Wow,
what a shocker! Breasts are just breasts in Pohnpei, women go topless in
many places on the island. No big deal. Women nurse their last child to 6
years of age. Here on Saipan, ohhh boy, breasts are the object of leering by
men and I don't feel too comfortable breastfeeding my toddler in public. I
sensed something was different when the flight attendant in Guam (where we
changed planes) discreetly informed me that my top button (on a scoop neck
dress) was undone. It's always undone when I wear that dress. It's the
second button that reveals some flesh. The Price CostCo store has a huge
banner hung across it advertising ABM. I'm not sure how to respond. I
welcome suggestions re: the banner. The hospital is severely understaffed
and I suspect bf initiation rates are low. Next week, I will investigate
rates and if there are any LCs here. Some moms are doing a weekly bf
support/info meeting for new moms. I haven't seen any sign of LLL.
I missed World Breastfeeding Week 1998 in Pohnpei as I was in Vermont that
week. I was given a t-shirt as a going away gift and the logo shows a bare
chested woman with babe on one breast and other exposed. Mind you this is a
line drawing but there is a dot for the nipple. I am very pleased to display
my BREAST IS BEST bumperstickers as well, also a gift from Pohnpei. Yes I'm
missing it and did not realize how good the atmosphere for BF is there until
I left.
If there are any Lactnetters from Saipan, please contact me.
Lisa Boisvert-Mackenzie, Midwife
Capitol Hill, Saipan
Commonwealth of the Northern Mariana Islands
[log in to unmask]
=========================================================================
Date: Thu, 12 Nov 1998 17:29:26 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Boisvert-Mackenzie <[log in to unmask]>
Subject: references for herbals & homeopathy
Comments: cc: [log in to unmask]
Mime-version: 1.0
Content-type: text/plain; charset="us-ascii"
There has been a recent request for recommmendations for reading re:
herbals and homeopathy. Please email this list to lactnet or to me
privately. I need a find a good reference for these types of
treatments. Always trying to learn more---Thanks.
Debbie
[log in to unmask]
-----------------------
My favorites are Miriam Castro's THE COMPLETE HOMEOPATHY HANDBOOK and
another that I cannot locate at this moment (I'm still unpacking) titled
something like, Homeopathy for Pregnancy and the First year. They are
published by St. Martin's Press. The one for childbearing offers much good
practical advice before remedies. Both are recently published and accessible
for newcomers to homeopathy.
Lisa Boisvert-Mackenzie, Midwife
Saipan, Commonwealth of the Northern Mariana Islands
[log in to unmask]
=========================================================================
Date: Thu, 12 Nov 1998 17:31:06 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Boisvert-Mackenzie <[log in to unmask]>
Subject: Ethical conflict
Comments: To: [log in to unmask]
Comments: cc: [log in to unmask]
Mime-version: 1.0
Content-type: text/plain; charset="us-ascii"
First I will state that I do not support advertising by formula companies. I
have learned much about the Code since I started reading Lactnet, over a
year ago. Since then, I reviewed and supported a bill aimed for compliance
with the code that was submitted to the Congress of the Federated States of
Micronesia. (It was shelved.) I am frequently called a breastfeeding zealot.
Now, that with that in mind, I will confess that AS YOUR BABY GROWS was
one of my favorite resources during pregnancy. I referred to the beautiful
photos at least once a month, probably more often.
This thread inspired me to pull it out and thumb through it. Jack, I do not
see the examples you cite:
<Look at the ads in that booklet carefully. When do you see the baby
crying?
Right, when they are talking about breastfeeding. When do they talk about
sleepless nights? Right, when they are talking about breastfeeding. When
do they show a happy alert, Chinese baby, with the caption, about teaching
him math formulas (cute, right?)? Right, under formula feeding. Why a
Chinese baby? Probably because no other group has been so influenced by the
information that breastfed babies have better cognitive development.>
I do not see any of these examples in my copy of this publication. I do not
see a crying baby or mention of sleepness nights. I do not see the Chinese
baby. Please know that I do not intend to be argumentive here, I am trying
to understand and am now wondering if I am being incredibly naive and am
missing something very big here in the images of the ads. I do not support
ABM advertising. I am not supporting this publication nor suggesting that it
is suitable to give to clients. I do not make this publication available to
my clients nor do I accept ABM sponsored material.
The copy I have is marked across the bottom: FROM THE PUBLISHERS OF AMERICAN
BABY MAGAZINE. The side is labelled, A CAHNERS PUBLICATION. The ads are from
G****R. I find the breastfeeding images to be quite lovely. Maybe I have a
copy from a different sponsor, albeit an unacceptable one, which leads me to
think that, if indeed this publication is made available to different
sponsors, then maybe a non ABM source might consider sponsoring it. Or a
group of non ABM advertisers might come together and sponsor it. (Any
takers, if it's possible?)
The photos come from Lennart Nilsson's, A CHILD IS BORN. I keep that in my
lending library as well as Lennart Nilsson and Katrina Swanberg's HOW WAS I
BORN, a favorite for children. So Kelly, maybe offering it in your lending
library might be a solution that complies with the Code and makes the photos
available to your clients.
Lisa Boisvert-Mackenzie, Midwife
Saipan, Commonwealth of the Northern Mariana Islands
[log in to unmask]
=========================================================================
Date: Thu, 12 Nov 1998 09:38:50 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Claude Didierjean <[log in to unmask]>
Subject: nicole bernshaw
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Somebody asked for the e-mail of Nicole Bernshaw. Here it is ;
[log in to unmask]
Claude Didierjean, Villemomble, France
=========================================================================
Date: Thu, 12 Nov 1998 06:42:58 -0500
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: 2200+ subscribers
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
I have changed the LACTNET digest header to include the new information that
we now have 2200+ subscribers.
FYI
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont, where autumn is in full color...
mailto:[log in to unmask]
Check these pages out...
http://together.net/~kbruce/proj.html
http://together.net/~kbruce/answers.htm
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Thu, 12 Nov 1998 06:40:15 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Wendy Funk, LLL Leader" <[log in to unmask]>
Subject: Good breastfeeding publicity
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
We're all (me, too) always getting angry for breastfeeding being
depicted badly... I've got a good one.
I went to a pretty intense statistical training course this week
(variance estimation in cluster correlated sample survey data).
We had some labs for the class, and the dataset that we were using to
analyze was a WIC dataset about breastfeeding. Our instructor
discussed how strongly the literature indicates that breastfed
babies are the healthiest babies... I had a few colleagues in the
class with me, and they gave me the big smiles when they heard the
subject area. Of course, the audience was a bunch of gearheads (no
offense - I'm one, too) and it was kind of funny to see the other folks'
reactions.
Nice to see breastfeeding depcited so nicely, especially after stupid
old Chicago Hope. And I did comment positively on the use of the WIC data.
Wendy
=========================================================================
Date: Thu, 12 Nov 1998 12:25:32 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Heather <[log in to unmask]>
Subject: sore 'bit' on breast
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
This is to help a mother who is breastfeeding (after huge difficulties at
the start - not helped, and in fact largely caused, by unnecessary
intervention and incorrect information from HCPs) her six month old son,
now with some additional solids. She has had a persistent sore bit on one
of her breasts which she describes as a small bump which has been then
since 2-3 days after the birth. It has a small, solid nodule at the centre,
like a seed. It is sore on the outside and the inside. She treats it with
Lansinoh which she says she thinks helps a bit. Dermatologist is puzzled
and says it's probably a small cyst or a blocked duct. Gynaecologist says
nothing sinister. This mother does not live locally to me, and my main
contact with her has been on the phone and via email so I have not seen
this sore bit.
This mum had minor breast surgery on this breast some years ago for cysts.
She has worked so hard at bf, despite huge obstacles - she was pumping,
giving occasional ABM as well as bf for ages and ages . All stemmed fromg
from, IMHO, lousy advice at the start in hospital - for example, the baby
was fine but because he weighed close to the 'cut off point' of 2500g,
though he actually weighed 200 g more, some midwife decided to stick to
rules rather too enthusiastically and gave him a 30 ml bottle of ABM on day
1, followed by more ABM in a cup plus a nipple shield by day 2. This was to
stick to a paediatric protocol which is apparently difficult to challenge.
Midwives, who, in the UK at least, are practitioners in their own clinical
right and do *not* have to follow what paediatricians tell them if their
clinical judgement is different, vary widely in their 'courage' in going
against protocols.
Anyway, any ideas on this mother's sore bit?
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Thu, 12 Nov 1998 07:37:28 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: away
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
Just to let everyone know I'll be in Missouri for the next four days. Till
Sunday evening, late.
Jack Newman, MD, FRCPC
=========================================================================
Date: Thu, 12 Nov 1998 08:25:42 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Cher Sealy, LLL Leader" <[log in to unmask]>
Subject: Jury Duty
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
Several months ago, my husband (who is an attorney) was called for jury duty.
He ended up as a juror for a medical malpractice case. He said there was also
an MD on the jury. Sure surprised me!
Cher Sealy, RN, BSN, IBCLC, LLLL
Montgomery, Alabama--deep in the heart of Dixie (Southern US)
=========================================================================
Date: Thu, 12 Nov 1998 07:51:31 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: jokes
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
Evi has had a couple of good jokes lately, one on childbirth and one of
"boobs". E - mail her and ask for a copy! Sincerely, Pat in SNJ
=========================================================================
Date: Thu, 12 Nov 1998 08:16:34 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: formula supplementation
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
Formula, whether low iron or added iron, provides an exogenous source of
iron to the baby that interferes with baby's use of iron in breastmilk.
The problem is SUPPLENTATION with formula, not how many mgs of iron formula
contains.
And personally other than the major supplementation issue, I don't think
what you use to supplement matters all that much.(gasp).
As Jack says "fix the breastfeeding so supp isn't needed". Or pump.
Sincerely, Pat in SNJ
=========================================================================
Date: Thu, 12 Nov 1998 08:27:02 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: ok.....NOW WHAT????
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
A list of local pump rental stations should cover you just fine. Just
don't put your name in bold ;-) Sincerely, Pat in SNJ
=========================================================================
Date: Thu, 12 Nov 1998 08:50:15 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Dr. Tom Hale" <[log in to unmask]>
Subject: Going Nomail
Content-Type: text/plain
Mime-Version: 1.0
Content-Transfer-Encoding: 7bit
Dear Colleagues:
I'll be NOMAIL for the next 10 days. I'm traveling to Great Britain for some
lectures.
Back soon.
Tom Hale, Ph.D.
Regards
Tom Hale, R.Ph., Ph.D.
Associate Professor of Pediatrics
http://neonatal.ttuhsc.edu/lact/
=========================================================================
Date: Thu, 12 Nov 1998 06:12:29 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Linda Bojman <[log in to unmask]>
Subject: Nutrition and milk supply
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Joy, Nutrition per se, does not effect milk supply. The mum should eat
healthy so she can be healthy. Sometimes it is better that the mum eat 5-6
small meals then three large meals. I agree with about milk supply you
empty the breast then you make milk. Also mum on poor diet will have enough
milk to feed their baby.
Oh by the way, mums is short for chrysanthemums which is a flower.
Bye Linda, RD, CLE living in San Diego, CA we have started our rainy season.
=========================================================================
Date: Thu, 12 Nov 1998 09:12:04 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: unavailability
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
We have to think of a better way to let others know that we will be
unavailable for a period of time without announcing that we will be in x
for x days (and my house is empty-come on in!) Maybe something like "no
emergency messages through 11/16." Or maybe only tell list moms privately
so they would be aware if a message comes up that needs a quick answer that
the answer won't be coming quick and they could let sender know privately.
Maybe I'm just being paranoid but the net is a w i d e open
announcement. Sincerely, Pat in SNJ
=========================================================================
Date: Thu, 12 Nov 1998 15:35:10 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Claude Didierjean <[log in to unmask]>
Subject: one breast
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Dear friends,
If Michael Woolridge'article is so often misinterpreted and results in
advice of giving only one breast per feed (it's the same thing in
France...), could someone who knows him ask him to write another article
saying that "finishing" the first breast does not mean to abstain from
giving the second one ? I see regularly mothers who have problems
(engorgments, babies who do not thrive, etc.) because of this advice/rule.
Claude Didierjean, LLL, Villemomble, France
=========================================================================
Date: Thu, 12 Nov 1998 08:54:31 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: breastfeeding images in formula company literature
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Lisa writes:
>The copy I have is marked across the bottom: FROM THE PUBLISHERS OF AMERICAN
>BABY MAGAZINE. The side is labelled, A CAHNERS PUBLICATION. The ads are from
>G****R. I find the breastfeeding images to be quite lovely.
Lisa, please answer the following questions about the breastfeeding images:
1. How old is the baby in each picture?
2. Where is the mother?
3. What is the mother wearing?
4. Can you see the mother's wedding ring? If not, is it because there is
no ring on her visible left hand, or is it because her left hand is not
visible?
5. Is the mother making eye contact with the baby, or is the baby looking
at mother's chest or neck?
6. Is the mother smiling? A lot or only a little?
By comparison to the bottle-feeding pictures in the publication, if any --
7. Can you see the mother's wedding ring?
8. Is the mother making eye contact with the baby?
9. Is the mother smiling? A lot or only a little?
Often times the "messages" sent by the formula companies images of
breastfeeding are extremely subtle.