This seems like a situation that Dr Katrina Mitchell may be able to weigh in on. I believe that she is reachable through iable. She is affiliated with the Ridley Tree Cancer Center. She is a breast surgeon as well as an IBCLC.
Holding good thoughts for this mama.

Mimi Leza BSN, RN, PHN, IBCLC
Ventura, Ca., USA
Sent from my iPhone
Sent from my iPhone 

[More ...]

Every reduction I have seen involves the removal of the nipple and reattachment. I would be shocked if they allow suckling on the reattached nipple.
If they are able to do a reduction without the removal of the nipple it could be possible. However, the resulting reduction would probably not be as aesthetically pleasing. I wish her the best in such a tough situation. 

[More ...]

What a really sad and difficult situation. I'd just like to add to
Rahmat's excellent points, that the size of the left breast during
breastfeeding, particularly unilateral breastfeeding as is happening now,
may bear little relation to the size of the breast six months on from when
weaning has taken place, whenever that is. One month wont be enough. So
to do a reduction on a recently lactating breast is unrealistic. I would
want a second opinion about the likely outcome of reduction surgery now
from a breastfeeding-savvy surgeon, rather than just a plastic surgeon.
And surely the insurance company 

[More ...]

If anyone in the USA would like a free VHS copy of Follow Me Mum, please
let me know. I'm decluttering my closet, and found that in there.

Julie Tardos

Hello all of you from Spain,

First of all, sorry about my English.

I want to ask you about your experience with breast reduction surgery during breastfeeding.

A breastfeeding mother had breast cancer and a total mastectomy on her right breast. She has an expander in her right breast now.

She is now having the final implant placed in her right breast and her surgeon has proposed reduction surgery on her left breast to make them more symmetrical. Her left breast is larger than the breast size she will have with the implant in her right breast. That is why 

[More ...]

Greetings everyone.

I'm looking for an HIV-savvy IBCLC in Rome, Italy who would be happy to
work with a mother living with HIV who is exploring the possibility of
breastfeeding. I'm hoping to find someone who would of course be
knowledgeable about the special joys and challenges of this scenario.

Pamela Morrison

*International Board Certified Lactation Consultant, Retired (1990-2020)* 

[More ...]

Dear Ilene:

If you look at the GOLD Lactation Conference line-up, you will see plenty
of next generations presenting. They also present in statewide coalitions
and in USLCA webinars.

Many have their own businesses and offer courses, training, and webinars. I
am on, offering an on-line 20-hour basic breastfeeding course, based on the
2016 US BFHI outline. 

[More ...]

I just got thinking during a recent conference that therebis a propensity of us long time, lactnet originals, first LLL IBCLC’s, that are presenters still. I rarely see a younger LC in this role. What will happen as we all retire as I just did from my Breastfeeding Coordinator role at WIC (still there as an LC)? Who will deliver this awesome information to newer LC’s? I’m concerned 😳 

[More ...]

Pamela Morrison <[log in to unmask]>
09:32 (13 minutes ago)
to Lactation
Liz

Thank you for sharing the IBJ article about commercialisation and
co-modification of breastfeeding in the UK. I found it horribly
fascinating. One aspect which jumped out at me, being conspicuous by its
absence, was that though these British mothers went scouring the internet
for all manner of breastfeeding help and 'stuff'/paraphernalia, not one of
them thought to look for any help from the very people who could have
seamlessly guided them through the confusion of conflicting and
overwhelming information - IBCLCs or breastfeeding counsellors. I've just
googled "Breastfeeding help, UK" 

[More ...]

Of course, we would have to include IBCLCs and breastfeeding educators in
that list.

Plus all these breastfeeding apps available now. How *did* mothers manage
to breastfeed before apps?!

Julie Tardos

I was musing about the problem of mothers pumping so often that they give
themselves over-production. It seems to me that what we're seeing is the
commodification of breastfeeding.

When you formula feed, there is an obvious commodity, and someone's making
money off of it.

When you breastfeed, who makes money? Pump companies have stepped into the
profit void, making money off what could have been free or cheap. 

[More ...]

While definitive research on flange sizing has yet to be conducted, an
article in Clinical Lactation might be of interest on this topic. See:
Higgins, A.F. (2022). Flange sizing recommendations for frequent breast
pump use. Clinical Lactation, 13(3), 159-169.

This study is interesting but the authors are funded by Medela.
Sakalidis VS, Ivarsson L, Haynes AG, Jäger L, Schärer-Hernández NG,
Mitoulas LR, Prime DK. Breast shield design impacts milk removal dynamics
during pumping: A randomized controlled non-inferiority trial. Acta Obstet
Gynecol Scand. 2020 Nov;99(11):1561-1567. 

[More ...]

Dear Lactnet Friends:

Jeanette Mesite Frem and her colleague gave a poster presentation at the recent
ABM conference about their research on flange sizing.

Jeanette has made flanges, pumps and gadgets her niche in the lactation care
world and a thorough job she has done too!! She has met with personnel at
various pump companies seeking to improve available options for our clients,
and offers both in-person and on-line education. Her website is
BabiesinCommon.com 

[More ...]

There is a research project which should be publishing results soon.

But more importantly- where did the size 24 come from? Where is the research?

As I understand it, a man in the 1800s developed a pump and made the piece 24 mm. When the first big electric pumps were developed, from what I understand the pump develops (Ameda etc) stayed with that number. Was it baby mouth circumference. I have no idea where 24 came from?
Now that we have so many women pumping with electric pumps, some exclusively, with all sorts of results, pain, damage to nipples etc. 

[More ...]

Hello all. Can someone please direct me to research support the current trend to measure nipples for breast shield sizing? Apart from the recent Medela webinar, I can not find anything.
Thank you. Donna

Dear Lisa:

This is indeed a difficult situation, and and you're digging deep in the
toolkit!  Were there any clues in the small improvement she noted? 
Women have very individual reactions to a pump, and sometimes it helps
to track what exactly seemed to play into the better sessions.  What
made her feel it was an impending plugged duct when it resolved with
gentle massage in the next feeding, rather than just a full area? 

[More ...]

Hello all,

I have no experience to share about POTS and breastfeeding, but my teenage
daughter had a severe and protracted POTS following a head injury and so I
can deduce some potential issues.

Fluid intake is encouraged and so would be of particular importance with a
breastfeeding mother. A high salt diet is often recommended but this would
not influence the sodium content of the breastmilk 

[More ...]

Good day colleagues,

I am hoping to tap into the global network that is LactNet is for a friend of mine.

She is expecting a baby mid-April and lives in Cali, Valle del Cauca, Colombia. My friend is looking for an English speaking doula and lactation support provider or group, not necessarily the same person, to help her through the birth and postpartum. 

[More ...]

Does anyone have experience with Postural Orthostatic Tachycardia Syndrome and Breastfeeding?

What kind of challenges would this present?

I found this article : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795856/

Any other info would be appreciated.

Dr Rahmat Bagus
Cape Town
South Africa
+27 82 82 64 600

Hi Lisa:

Lactnet is just a trickle of messages now, but its archives are often
useful.  While it will create a very long post, I'm copying my 2021
reply on this very question -- you've already offered many of these
ideas! Your client previously got an easier, larger pump output,
possibly during the more engorged early weeks?  Now she's more in
balance with her thriving baby and trying to wedge in pumping sessions
in between frequently feeding a young baby. When she's back at work,
she'll likely be more full because she's harvesting accumulated milk
that the baby would have 

[More ...]

I have permission to post. I have a mother whose baby can transfer 5 oz when breastfeeding but unable to get more than an ounce when pumping. (Spectra)This began a week ago when she decided to do more pumping in prep for returning to work. She gets a single spray of milk when previously she saw multiple pores spraying. We tried different sized shields- decreasing sizes and increasing, using HOP, heat, massage, going back and forth from side to side while pumping one side at a time, power pumping, with no improvement. She is going home and plans to watch 

[More ...]

Hi!

For resistant blebs, after trying and failing with the usual management, I
prescribe a medium strength topical steroid cream, 3 times per day for 5
days. In the small amount of literature on blebs, they seem to be made of
inflammatory and descamated tissue, so it makes sense and usually works
well. If medical prescription is not in your scope of practice you'd have
to refer to someone who can. 

[More ...]

Anxiety and pressure to do many things (some self imposed). Pumping is
something they can control and I believe many people find storing that much
milk empowering.

Fear of BF not working out and/or low supply.

Outdated info - many people are pumping to get out the plugged ducts they
read about. Lumps are interpreted as plugged ducts and they want to get
them out and avoid mastitis. 

[More ...]

Hi

I have been an IBCLC for 15 years and through the beginning of my practice I rarely or I frequently saw oversupply issues.

Since last Spring I am seeing this all the time! I run weekly breastfeeding clinics and I have patients with this issue every clinic. I have racked my brain to figure out why this is but I cannot figure it out. 

[More ...]

Hi all,

The article about pseudoephedrine and milk production was published in
2003 in the British Journal of Clinical Pharmacology,
https://doi.org/10.1046/j.1365-2125.2003.01822.x
<https://doi.org/10.1046/j.1365-2125.2003.01822.x>

There are a number of articles related to this one.  I only had a hard
copy from prepublication dated 2002.

I hope this is useful,

Ruth Berkowitz, IBCLC; ABA breastfeeding counsellor & breastfeeding
educator (CertIV); Diploma of Breastfeeding Management; CertIV trainer &
assessor; Grad Dip (counselling); MLS; B Sci (ed) Partner Greg; mother
to Deb & Nate; grandmother to Freja & Pema and Margot

Hi all,

Hope it's ok to ask this on here. My family and I are moving back to the UK
this summer after almost 20 years in San Francisco. I am
currently working as a Lactation Consultant in a hospital setting
(inpatient, outpatient, teaching classes, facilitating support groups.) I
have an IBCLC credential, but am not an RN. I am hoping some UK based folks
would be willing to chat with me about how/where to begin to look for an LC
job there. 

[More ...]

Re:
Let's say you're pregnant, and you have a cold, so you take
pseudoephedrine. You're not breastfeeding yet, but can the drug interfere
with milk production after you give birth? How long before you give birth
might it affect milk production? Can it affect colostrum production?
The answer is five half-lives, which would be up to approximately 24 hours after you stop taking pseudoephedrine.
Yes; it could affect colostrum production if taken during that time.
I doubt any mother giving birth would be taking pseudoephedrine during that time, in any case. 

[More ...]

I have a cold and am taking pseudoephedrine, which made me wonder about
this.

Let's say you're pregnant, and you have a cold, so you take
pseudoephedrine. You're not breastfeeding yet, but can the drug interfere
with milk production after you give birth? How long before you give birth
might it affect milk production? Can it affect colostrum production? 

[More ...]

Hi everyone,
I would love to obtain these old articles to glean their insights. They are all non-English. Might someone out there have access to one or more of them?
Thanks,
Lisa Marasco

Gynakol Geburtshilfliche Rundsch. 2004 Oct;44(4):233-7.
[Natural remedies during pregnancy and lactation].
[Article in German]
Gut E1, Melzer J, von Mandach U, Saller R.
Author information 1Abteilung Naturheilkunde, Departement innere Medizin, Universitätsspitals Zürich, Rämistrasse 100, CH-8091 Zürich, Switzerland.
Abstract
Up to date there is a lack of systematically gathered data on the use of natural remedies (phytotherapeutic, homeopathic, anthroposophic, spagyric, Bach and Schussler remedies) during pregnancy and lactation. 

[More ...]

Anyone have any idea whats going on with this? My DIL is expecting and just
asked me if I knew anything about this and how it differs from "regular"
bfing. I hadn't even heard of it so asking my mentors here - what's up.
Looks to me at first glance that it is nothing more than preying on
vulnerabilities of new moms. My DIL has a hx of insufficient milk supply
due to lack of glandular tissue and she is, of course, intrigued.

Hello all,
I've searched the archives and was not able to locate any information. I was part of a weekly clinical care meeting at work and someone presented the query that one of her patients (currently lactating, not sure of infant age --<3 months most likely) wanted to know if it was okay to do a session in a hyperbaric chamber. We were not sure and suggested holding off on the session until we can research the issue. I'm hoping you all will be able share your wisdom with us. Kindly, Leslie

Hi everyone,I was hoping that someone here could point me to a document or website that describes the supplementary nature of WIC's infant formula provision- i.e. that they give enough to often fully formula feed initially but then it is not sufficient as the infant gets olderThanks so much for your assistance.Kind RegardsKarleen

Free for shipping cost within USA: The Lactation Consultant in Private
Practice by Linda J. Smith. Good book, but I no longer need it, and it
would be useful to someone else.

Question. Is there any reason I should keep records of my past clients now
that I'm no longer an IBCLC and seeing clients? It's been 2 years since my
last client. Can I just shred it all? Most of it is on paper. Some
computer records, all of the reports I sent to doctors. Any reason to not
delete it all? 

[More ...]

Dear Naomi --

This is a topic of great general interest, so let's keep the discussion
here!

 It's sometimes hard to realize how quickly the "silent revolution" of
wide-spread pump use has taken place, with very little broad-based,
commercial-conflict-free research (particularly concerning families with
healthy term babies) examining the designs, efficacy, and comfort of the
products that people are depending on, in this booming, only-lightly
regulated market.  If you haven't done a search for "breast pump"
lately, go there now! 

[More ...]

Naomi has asked about breast pump efficacy and there are certainly many
published articles on breast pumps and expressing milk. You might find some
of the information you are asking for in the upcoming issue of the journal
Clinical Lactation. This special issue is specific to breast pumps and
pumping. It should be out soon. 

[More ...]

Good morning colleagues,

I am looking for research studies and review papers on breast pump use and efficacy, primarily in the US, for full term healthy babies.
1. Who uses pumps?
2. What kinds of pumps are used?
3. What is their impact on breastfeeding exclusivity and duration?
4. What is the impact of ACA pump policies?
5. What do moms say about pump use? 

[More ...]

Hi Pat:

You have done work that is both important and monumental.

We have to pass it on!

The Drexel University Lactation Program might be an option. I have a few
names there if you are interested.

xoxoxo

On Tue, Nov 7, 2023 at 10:00 PM LACTNET automatic digest system <
[log in to unmask]> wrote:

> There are 4 messages totaling 128 lines in this issue.
>
> Topics of the day:
>
> 1. Re" Origin of the expression "On demand feeding" (2)
> 2. Center for Breastfeeding Information Research Library (2)
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> http://community.lsoft.com/archives/lactnet.html
>
> Thanks!
>
> LACTNET Facilitators
> Kathleen B. Bruce RN, BSN, IBCLC
> Rachel Myr, midwife, IBCLC
> Kathy Koch PhD
 

[More ...]

Felicia,
The term "on demand feeding" was around in the mid-1960s in Australia and
New Zealand when it was used in State-run maternal and child health circles
(and in some areas and by some individuals frowned upon), but I don't know
how many years before that as I don't have all my old notebooks from my
research for my PhD. The notebooks from my research are in one or other box
since I moved a while ago. 

[More ...]

Pat, this is so interesting! Can you share more about this library?
with thanks,
Anna Swisher, MBA, IBCLC

Can anyone recall when the expression "on demand breastfeeding" was
created?
Where did it come from?

Is it from La Leche League?

Thanks for the help,

Micaela Notarangelo, IBCLC

Hi everyone!

There are great clinicians and researchers all over the world whose first
language is Spanish and who often feel that English is a barrier for both
publishing their papers and for reading scientific articles.

After a lot of hard work, I am proud to announce the launch of the Revista
de Lactancia Materna, a scientific journal published by Ediciones
Universidad de Salamanca and promoted by AELAMA (Asociación Española de
Promoción y Apoyo a la Lactancia Materna), with the support of BFHI Spain
and of AECCLM (Spanish IBCLC Association), which aims to disseminate
research papers, literature reviews, recommendations and 

[More ...]

Dear Lactnet Friends:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599145/

warmly,

Hi all --

The link provided for Karleen's article needs a "dot" (aka period)
before the "org" to work.

Thanks!

Margaret Wills, Maryland, USA

> Date: Sat, 28 Oct 2023 16:08:33 +1100
> From: Karleen Gribble <[log in to unmask]>
> Subject: New paper on breastfeeding and gender equality
>
>
> Hi Lactnetters,
> Together with others, I have recently had a paper published on the
> subject of breastfeeding and gender equality.  It might of particular
> interest to those involved in advocacy with governments and other
> policy makers and assist in avoiding gender equality initiatives
> undermining the ability 

[More ...]

Hi Lactnetters, Together with others, I have recently had a paper published on the subject of breastfeeding and gender equality.  It might of particular interest to those involved in advocacy with governments and other policy makers and assist in avoiding gender equality initiatives undermining the ability of women to breastfeed their babies (which unfortunately is quite common). Reference and link is below, Gribble, K. D., Smith, J. P., Gammeltoft, T., Ulep, V., Van Esterik, P., Craig, L., Pereira-Kotze, C., Chopra, D., Siregar, A., Hajizadeh, M. & Mathisen, R. 2023. Breastfeeding and infant care as ‘sexed’ care work: Reconsideration of the 

[More ...]

Hi Lactnetters, I thought that the below article I coauthored for mothers and those supporting them during disasters on how to keep breastfeeding through emergencies (and explicitly addressing that stress does not impact milk production) might be of interest. https://theconversation.com/no-stress-wont-dry-up-your-milk-how-to-keep-breastfeeding-your-baby-in-an-emergency-205031 Kind RegardsKarleen GribbleAustralia

>
> Torbangun has not be the Western-identified scientific studies, but as it
> has been a tradtitional medicine by the people in Indonesia for
> generations, it will be safe for the nursing parent.

I would suggest finding a Traditional Medicine Person (TMP) from Indonesia
to ask if there are side effects, drug interactions, of which to be aware.
Our TMP we work with on my Reserve has expensive knowledge about drug
interactions, far more than doctors know. 

[More ...]

Has anyone worked with a mom trying to increase milk supply with an herb called torbangun? Also know as coleus amboinicus. There are very few studies done on this herb so anecdotal input would be helpful.

Thanks.

Anne Duret RNC IBCLC
Sacred Heart Medical Center
Springfield, OR

Years ago had a co-leader that this happened to, with all her pregnancies.
She was able to just nurse off one breast until they self weaned. She tried
pumping that breast in between feeds with a hospital grade pump, it never
came back.

Felicia Henry

Permission to post.

I have a mom with a 7 month old who says baby nurses well from both breasts but milk has ceased from one breast. She has been nursing more and pumping that breast with no results. I suggested she contact her provider, they had told her to contact me. I can find no info in any reference books regarding this situation. Can anyone advise?? 

[More ...]

Hello!
Does anyone have recommendations for a Speech Thrapist who knows how to support babies with cleft palate to breastfeed?
I have a family here who has simply been told by the cleft palate team that they have never seen any cleft palate baby breastfeed.
Baby has a cleft soft palate, and had actually latched successfully a few times. And induced a MER on the 3rd day.
But then the cleft was discovered. They were immediately given the Dr Brown bottle where baby only has to bite to get milk, and the suck became extremely disorganized after. We have not 

[More ...]

Hi everyone,I'm looking for information for a presentation I'm doing, I've contacted IBLCE and their response was they don't have this info.
I'm looking for the number of IBCLC's in the USA and territories in the year 2000 and if available from the original test year in 1985.
Thank you for any help.Donna Goggin-Dolwick, BSN, RN, IBCLCMichigan, USA

Sent from my iPad

> On Sep 16, 2023, at 12:01 AM, LACTNET automatic digest system <[log in to unmask]> wrote:
>
> There is 1 message totaling 125 lines in this issue.
>
> Topics of the day:
>
> 1. Buffy, funny story
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> http://community.lsoft.com/archives/lactnet.html
>
> Thanks!
>
> LACTNET Facilitators
> Kathleen B. Bruce RN, BSN, IBCLC
> Rachel Myr, midwife, IBCLC
> Kathy Koch PhD
> Linda Pohl
> Karleen Gribble PhD
> Norma Ritter, IBCLC
 

[More ...]

Sago:

My community of Six Nations of the Grand River hosted a concert by Buffy, a
few months before Covid hit. It was an arts week for the youth.

I was GAGA over her coming and was able to get ticket for me, our girl, and
Dave.

While I am a good speaker, I am ALWAYS nervous in the first few minutes. 

[More ...]

Hello all --

Lactnet has been tackling important topics in our field in recent posts.
As a little diversion -- Just wanted to share a lovely and diverse set
of vintage photos of a grand tradition:

https://pregnantchicken.com/old-breastfeeding-images/

Margaret Wills, IBCLC Maryland, USA

*Headline in MedPage Today: "Study Links Being Breastfed to Cancer Risk in
Adulthood"*

https://www.medpagetoday.com/gastroenterology/coloncancer/106253?xid=nl_mpt_morningbreak2023-09-11&eun=g1088585d0r
(I enjoyed the comments section, but was not successful in adding my
own...hopefully, some of you will have better luck doing so.)

*Actual Article Title in CGH Journal: "Being Breastfed in Infancy and Risk
of Colorectal Cancer and Precursor Lesions"*

https://www.cghjournal.org/article/S1542-3565(23)00673-0/fulltext

The authors' conflict of interest details and study variables are
"interesting", but I know that I'm preaching to the proverbial choir. 

[More ...]

Dear Elien, Naomi, Pamela and all:

This discussion has been collegial and professional.

I am remembering the original definition of "evidence-based medicine" ; my
source is the folks at Johns Hopkins. Evidence based medicine is a blend of
research findings, clinician experience and patient concerns and values.

I had my own personal clinical experience dismissed by one of the authors
of the new protocol. 

[More ...]

Thanks, Naomi and Pamela, for your reactions.

Some things I have seen that all (Anne, Pam, Monica) are agreeing on, and could be helpful in the clinical management:
- There is far too much antibiotics prescription on mastitis that probably is not bacterial, but an inflammation through pressure (too much milk, edema, false positioning etc).
- The idea of one plugged duct has to be evaluated - since they are far too small to be felt individually
- Deep massage is harming the tissue and contributing to the inflammation, so should not be recommended
- Too much pumping may aggravate 

[More ...]

Naomi,

Thank you for your kind response and I will give your praise further to the Protocol Committee. It is difficult, but through discussions like this we bring the field forwards.

Elien

Elien Rouw

Im Wasserbett 7

77815 Bühl

Tel: 07223-900302

Email: [log in to unmask]

Von: Naomi Bar-Yam
Gesendet: Sonntag, 10. September 2023 03:03
An: [log in to unmask]; Lactation Information and Discussion <[log in to unmask]>
Betreff: Lactnet Mastitis protocol 

[More ...]

Elien,

Thank you for your clear comments on the mastitis protocol. Protocols and reviews are indeed complex, highly specialized, research is lacking, and often not very good quality. This all makes it quite difficult to write and review protocols for others to use in their own practice.

Thanks to ABM and all those who so generously give their time and expertise to write and review protocols. 

[More ...]

Ellen Rouw, thank you for taking the time and trouble to join the
conversation with your ABM President-Elect hat on. I think we all place
great reliance on the ABM protocols, and view them with great respect,
which is what makes #36 of special concern – it is unexpected for so many
of its recommendations to go against the observation, experience and
understanding of so many of us who ourselves have worked with breastfeeding
mothers for many years, and for whom prevention and treatment of
postpartum engorgement, mastitis, or abscess is almost a bread-and-butter
matter. 

[More ...]

Dear readers,

I don't write here often, but this time I want to react, also with my "hat"
President-Elect of ABM.
Thank you so much for the feedback on this Protocol. We already heared many
comments in this direction and we have made a few adaptations in the
process of writing and publishing a Protocol.
This said, I want also make a few additional comments:
1. The theme of Mastitis is highly complex and it also shows that we have
too few sound medical research in this field. For me it shows how women's
themes are forgotten in medicine. Google 

[More ...]

Of interest to Lactnetters? A commentary by Pam Douglas published by IBJ
on the controversial ABM #36 Mastitis protocol, see
https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-023-00588-8

Pamela Morrison
IBCLC Retired, Rustington, England

I have a mom of a 12 week old with persistent bilateral nipple pain. She
has been treated with Clindamycin x 10 days TWICE for mastitis. Has been
on Diflucan proper dose x 10-14 days for yeast. Nothing helps. Nipple pain
continues. Mom is mentally exhausted! What are we missing????
Loretta Haycook
Jacksonville Bch, FL

Looking for an experienced provider that revises tongue and lip ties in the upper peninsula of Michigan. The family in need lives near Eckerman.

Thank you in advance, Michelle D.

Hi!

The sad thing is we won't know how this turns out until those infamts that
grow up on this become adults. If short term effects are not terrible, this
formula will be used on a larger number of babies and we'll see the effects
when it's too late. So, same large scale, uncontrolled experiment as cow
milk-based formula. 

[More ...]

It is scary what formulations are out there on the internet for home-made,
plant-based concoctions for feeding infants. And you mentioned that they
are now in shops, too.
A couple of years ago, with difficulty, I talked a client out of using one
such very involved and questionable recipe, off the internet. (Besides
nutrition, a further foreseeable problem was that she might soon find it
too onerous to make.) Her baby needed supplementing prior to increasing her
supply, as the tiny girl was losing weight - which the Mum was trying not
to notice, I worked hard in that consultation! 

[More ...]

This might answer your questions.
https://formulasense.com/the-formula-sense-blog/the-101-on-pea-protein-baby-formula. Enfamil plant-based formula "replaced" Enfamil soy-based. It is still made with soy.

I've been seeing a new "plant based" formula on the shelves recently. It
has a pea protein base. I'm wondering if anyone here anticipates specific
long term problems from this. For example, (one of my textbooks states)
there is an associated increased risk of thyroid problems and infertility
in women who were soy-formula-fed as infants. 

[More ...]

Hello!
We publish a report on a topic for World Breastfeeding Week each year. This
year we would like to research the breastfeeding education of healthcare
professionals. Please spare a few minutes to answer our survey.
https://docs.google.com/forms/d/e/1FAIpQLScEBsVTwUDU-fKgaQXzOdQGwUgWS3F_YckY-fJ1lC8nciOMfw/viewform?fbclid=PAAaZYhEZozEPHeOBzCtGJ6qByOw6XZtpxENTx_ppA1iX_SA0bq1SW3SFkVkU

Thank's!
Alba Padró
Co-Founder
[log in to unmask]
+34 606 644 359 <+34606644359>
<http://lactappwomenshealth.com>
<https://www.linkedin.com/company/15077424/> <https://twitter.com/lactapp>
<https://itunes.apple.com/es/app/lactapp/id1040787494?mt=8>
<https://play.google.com/store/apps/details?id=es.lactapp.lactapp&hl=es>
www.lactappwomenshealth.com <http://lactappwomenshealth.com>

>
>
> ---------- Forwarded message ----------
> From: Julie Tardos <[log in to unmask]>
> To: LACTNET LACTNET <[log in to unmask]>
> Cc:
> Bcc:
> Date: Wed, 28 Jun 2023 21:16:10 -0700
> Subject: Re: LACTNET Digest - 25 Jun 2023 to 28 Jun 2023 (#2023-48)
> I've worked with a couple breastfeeding dyads where the baby was tongue
> tied AND the mother had over-supply or forceful letdown. The babies were
> gaining well because the mothers were driving the feeding. The babies were
> struggling because they couldn't use their tongues to regulate the milk
> flow, so they were gagging 

[More ...]

Dear Lactnet Friends:

I've never heard this before.

What is more common in my experience is that the baby rides the milk surge,
and does alright for the first few months. Then the lack of complete
drainage from the poor latch leads to a faltering in weight gain and a
drop in supply around 4 months. 

[More ...]

Hi!

A few of my clients tell me that some providers state that oversupply may
be caused by a certain type of suckling by some tongue-tied babies. These
clients say that "mother´s body is helping the baby by making a lot of
milk, so that even though s/he is not suckling effectively, s/he gets a lot
of milk". 

[More ...]

Hello colleagues,
I am looking for some up to date information on which countries count breastfeeding / breast milk in GDP and other economic indicator measures. Any references most appreciated.

This may not be of general interest so please reply to me offline.

Thank you all,

Naomi

Hi!

Ten days ago I had the privilege of hosting Dr NIls Bergman and his wife
Jill here in Madrid for a full-day conference about Nurturescience and
skin-to-skin/separation zero. Also, I just now finished listening to
Raylene Phillips (MD, MA, FAAP, FABM, IBCLC) in her presentation
presentation "Building Strong Bonds: The Neurobiology of Parent-Infant
Attachment in the NICU." 

[More ...]

Gail Hertz
[log in to unmask]

Dear Stephanie:

Thank you for all the resources to help us provide lactation support to
2SLGBTQIA+.

Here's a link to a fascinating discussion of the Racism and Colonialism
elements around gender, given at USBC by Dr. Aunchalee Palmquist.

https://www.youtube.com/watch?v=GxL71__2wfg&ab_channel=USBreastfeeding

warmly,

Sago:

We are about halfway through Pride Month in some countries around the
world. I thought I'd share articles about supporting 2SLGBTQ+ with
lactation questions.

2S is a word some queer Indigenous people living in North America use to
identify themselves: 2-Spirited. These people were/are highly regarded in
our communities.

The JHL has a great study in the May 2023 issue and Protocol 33 from the
ABM gives excellent information about how we, as IBCLCs and lactation
professionals, can best give support to those asking. 

[More ...]

Hi,
I would like to receive all the emails. I believe this might be called the digest to my email. I am new to Lactnet, and I think I chose the wrong one when signing up. I am excited to read through all the information. Would you be able to fix this for me or guide me through the process? 

[More ...]

It’s so great to hear about the book making a difference with parents. I really appreciate the recommendation.
To answer your question, the Breastfeeding Family’s Guide to Nonprescription Drugs and Everyday Products is available from all booksellers, but here’s a direct link to the publisher’s webpage:
https://www.platypusmedia.com/product-page/the-breastfeeding-family-s-guide-to-nonprescription-drugs-and-everyday-products

Looking forward to hearing what you think about this new edition. 

[More ...]

I will be at USBC doing a book signing for my new book, "The Breastfeeding Family's Guide to Nonprescription Drugs and Everyday Products, today, Friday, June 9, 2023, at 1 PM.
Please come by and see me.

Frank J. Nice, RPh, DPA, CPHP

Hello all!
Any Lactnetters attending the USBC Conference in Bethesda ? Are you
interested in a meetup?

Neither drug has properties that should reduce milk supply.
I am not saying it is impossible, but it is not likely.
I would investigate anything else that is also occurring at five months.

Frank J. Nice, RPh, DPA, CPHP

Hello,
Working with breastfeeding dyad with no previous concerns. Baby is 5 months of age. Parent recently started prescriptions of Omeprazole and Rifampin. Mother concerned that meds are affecting her supply. Unable to find any evidence of a known issue with decreasing supply. Seeking any insights from the group.

Thank you,
Gloria Sorem, RN, PHN, IBCLC

Hello everyone,
I am trying to reach Dr. Deena Zimmerman, if someone has her contact info, please contact me offline,

Thanks
Naomi

On Wed, May 24, 2023 at 9:00 PM LACTNET automatic digest system <
[log in to unmask]> wrote:

> There are 2 messages totaling 88 lines in this issue.
>
> Topics of the day:
>
> 1. Wearable pumps
> 2. wearable pumps
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> http://community.lsoft.com/archives/lactnet.html
>
> Thanks!
>
> LACTNET Facilitators
> Kathleen B. Bruce RN, BSN, IBCLC
> Rachel Myr, midwife, IBCLC
> Kathy Koch PhD
> Linda Pohl
> Karleen Gribble PhD
> Norma Ritter, IBCLC
> 

[More ...]

Dear Lactnet Friends:

Judith asks about research about wearable pumps.

There is research about their value for working folks; for example,
emergency room physicians and physicians in general ( The Impact of
Wearable Breast Pumps on Physicians' Breastfeeding Experience and Success
BF Medicine 2022) . I can't find any research about their efficacy when
compared with other pumps. 

[More ...]

Hello colleagues,

I am writing to ask if anyone has research on the efficacy of the wearable
pumps to increase milk production, versus the hospital grade or standard
personal use double electric pumps?

Judith L Gutowski, BA, IBCLC

On Fri, May 5, 2023, 12:23 AM LACTNET automatic digest system <
[log in to unmask]> wrote:

> There is 1 message totaling 36 lines in this issue.
>
> Topics of the day:
>
> 1. Infant Formula and the FDA
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> 

[More ...]

Thank you Ina and all the others who have chimed in on this important topic. Ina’s explanation says it well and briefly. I’m sure more info is available on the FDA website.

The bottom line is that infant formula is considered a food and not a drug/medication. The FDA standards for bringing food to market and oversight are very different for food and for drugs. That isn’t going to change any time soon. There is a third category of medicinal food, more recently implemented. Some specialized formulas fall into this category, but not the formulas one can pick up in 

[More ...]

Dr Hope Lima gave a talk on supplementation, on various types of formulas.
She is a Ph.D. in biochem, is a registered dietician and an IBCLC.
www.hopefeedsbabies.com

This is from my notes on her talk which was part of a bundle on the
complexities of supplementation hosted by Annie Frisbie IBCLC of
www.paperlesslactation.com:

Formulas are not approved by FDA the way drugs are. In other words, they
are not tested before being marketed to see that babies do indeed grow on
these formulas. 

[More ...]

Good day,

A colleague is looking for information on setting up a telehealth program, not in lactation. If anyone has information on the logistics, SOPs, legal and medical requirements, any resources about these things, please contact me off line.

Thanks so much,

Naomi

Thank you, Liz and Pamela, for this information and helping me to finally resolve this mystery!! Your help is greatly appreciated.
Warmly,
Amy

Ps: just ordered George Kent’s book as you recommended, Pamela. Can’t wait to get it!

Amy Wagner, BS, RN, CCES, IBCLC
Palmyra PA

Sent from my iPhone

Hi all,

Dr. Julie Smith, has written about the economic value of breastmilk and
and the economic costs of artificial breastmilk substitutes over many
years.  In 2019 She wrote about the carbon footprint of milk formulas
and harms to health (International Breastfeeding J 
doi.org/10.1186/s13006-019-0243-8). In 2013 Dr. Smith wrote about the
economic value of breastmilk in gross domestic product (J of Human
Lactation doi: 10.1177/0890334413494827). 

[More ...]

"Breastfeeding is priceless. Capitalism is a limiting philosophy, where
something priceless can be deemed to be without value."

Fabulous sound-bite Nikki Lee. May I quote you?

Pamela Morrison
IBCLC Retired, Rustington, England.

Good day colleagues,

Parents.com<http://Parents.com> has an article on the recently published article on cost of breastfeeding. All three of the articles authors were interviewed for this piece.

https://www.parents.com/nursing-your-child-may-be-priceless-but-its-not-without-cost-7480612

Most important take-away for me is the breastfeeding is a communal responsibility. The benefits are also communal. The J Perinatology piece was trying to quantify this for policy makers who need number in order to set responsible policies. 

[More ...]

Dear Lactnet Friends:

https://www.fda.gov/food/infant-formula-guidance-documents-regulatory-information/regulations-and-information-manufacture-and-distribution-infant-formula
.

There is a lot more here than there was a few years ago.

Warmly,

> ***********************************************
>
> ----------------------------------------------------------------------
>
> Date: Thu, 4 May 2023 21:48:51 -0400
> From: Amy Wagner <[log in to unmask]>
> Subject: Infant Formula and the FDA
>
> Hello Lactnetters!
> Hoping someone can help me find some information about infant formula and
> FDA oversight. I think it was at one of the ILCA annual meetings that the
> guest speaker stated that infant formula never underwent clinical testing
> prior to being approved for use in the US. Does 

[More ...]

https://www.fda.gov/food/people-risk-foodborne-illness/questions-answers-consumers-concerning-infant-formula#:~:text=March%201%2C%202006.-,Does%20FDA%20approve%20infant%20formulas%20before%20they%20are%20marketed%3F,to%20marketing%20a%20new%20formula
.

Judith L Gutowski, BA, IBCLC

Hi Amy

I hate it when that happens too!

George Kent has written extensively about infant formula and the hoops it
has had, and hasn't had, to jump through. "Regulating Infant Formula" is
one of the most well-known (published by Hale) but he has been a very
prolific writer, and speaker, on this subject - with many many articles
and books to his name about how the world views breastmilk substitutes. I
just had a quick google, and found a link to list of his publications at 

[More ...]

Hello Lactnetters!
Hoping someone can help me find some information about infant formula and FDA oversight. I think it was at one of the ILCA annual meetings that the guest speaker stated that infant formula never underwent clinical testing prior to being approved for use in the US. Does anyone else remember this statement? I have searched everywhere and can’t find the research to back it up or the person to quote… and it’s driving me nuts!!
Thanks for any tips. 

[More ...]

Hi!

Thank you, Marsha, for sharing the information about that study. Now I´m
having a ball checking out the calculator!!
https://mothersmilktool.org/#/admin/introduction

Cheers!
Kika

--
Dra Carmela Baeza
Médico de familia, IBCLC nº L-17694
www.centroraices.com
www.ibclc.es

*Este mensaje va dirigido, de manera exclusiva, a su destinatario y puede
contener información confidencial y sujeta al secreto profesional, cuya
divulgación no está permitida por Ley. En caso de haber recibido este
mensaje por error, le rogamos que de forma inmediata, nos lo comunique
mediante correo electrónico remitido a nuestra atención y proceda a su
eliminación, así como a la de cualquier documento adjunto 

[More ...]

Dear Lactnet Friends:

Ann is unable to post on Lactnet, so I am bringing her with me on this post
to see if that will help.

Thank you for your patience.

warmly,

While the Yale study on the cost of breastfeeding seems skewed at best,
another study has been published that looks at the cost of not
breastfeeding. Entitled, "The volume and monetary value of human milk
produced by the world's breastfeeding mothers: Results from a tool."

From the study:

"Global production was around 35.6 billion liters a year. This represents
just under half the potential production if women and children 0–35.9
months were universally enabled to breastfeed optimally. Valuing the lost
milk at around US$ 100 a liter represents a monetary loss of production of
US$ 2.2 trillion annually. The Mothers' 

[More ...]

LACTNET automatic digest system <[log in to unmask]> schrieb am
Mo., 24. Apr. 2023, 06:01:

> There is 1 message totaling 49 lines in this issue.
>
> Topics of the day:
>
> 1. Cost of breastfeeding (Yale Study)
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> http://community.lsoft.com/archives/lactnet.html
>
> Thanks!
>
> LACTNET Facilitators
> Kathleen B. Bruce RN, BSN, IBCLC
> Rachel Myr, midwife, IBCLC
> Kathy Koch PhD
> Linda Pohl
> Karleen Gribble PhD
> Norma Ritter, IBCLC
> Nina Berry PhD
>
 

[More ...]

Wide circulation of the Yale study on the cost of breastfeeding could serve
to present yet one more challenge to breastfeeding. What about the cost of
formula feeding? It is not just the $2000 in the cost of formula. How about
the cost of lost days from work to care for a sick child, the cost of
doctor visits, medications, hospitalization, medical equipment,
specialists, dental care, etc? The burden of excess illness in
formula-fed infants and children is a known entity yet seldom factored into
the cost of not breastfeeding. 

[More ...]

Dear Lactnet Friends:

When breastfeeding, how often is one sitting down and doing nothing else?

How often is one doing other things whilst breastfeeding or pumping:
running the vacuum cleaner, entertaining a toddler, eating, working on the
phone or computer, or sleeping?

One glaring omission is that this multi-tasking ability is not
quantifiable.

Don't we wish we could sit down for 3 or 4 hours a day and do nothing else
but breastfeed?? 

[More ...]

Hi everyone
In the hospital where I work, we are finding so many mothers having a known
history of prolactinoma. Many require dostinex to keep their periods
regularly or to conceive. Nearly all of these mothers struggle to build
their milk supply and need to mix feed. Does anyone have any tips from
past experiences? 

[More ...]

Having now read the article the authors are looking at the main cost of breastfeeding calculated as loss of wages while sitting down and either directly breastfeeding or expressing milk.  While I laud the look at the minimal cost of a persons worth in economics and their contribution to society and their own personal households, I also know that most breastfeeding persons are not spending 3-4 hours loss of work time from their job every day for breastfeeding.While this is a complex subject hopefully prospective parents and their partners don't look at this and decide "we can't afford $11,000 for 

[More ...]

Thank you Eileen, that was very helpful!!

Dear all,

Although mostly listening, I now want to chime in.
I can understand, where the Yale study comes from (although I didn't read it myself, only the content you provided to me). And: I have written something similar in 2014, together with Elizabeth Horman and Veronika Scherbaum - in Germany: the high cost of halfhearted breastfeeding promotion in Germany: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-014-0022-5
Of course the Yale study is centered in the USA, with miserably parental leave regulations and a very high pumping percentage - this will be different in other countries, notably in western Europe - Germany has excellent parental leave 

[More ...]

This is really an issue regarding making alternative milks available at schools and other institutions in the US for children allergic to cows milk. It is not meant in any way to refer to breastmilk. Could be a tiny bit of overlap for a 1-3 year old still getting breastmilk at day care, but not intended issue. Really about alternatives for children. 

[More ...]

….. a functional castration of women has occurred. They have acquiesced to
a combination of forces, medical and cultural, which have eventuated in the
use of the breast as the primary sex symbol and yardstick of feminine
desirability, divorced from its nurturing role. Women in a critical period
of their life cycle have become divorced from themselves and from the
ability to confirm their identity fundamentally. In this instance, the
degree of concern of the medical profession might be described as inversely
proportional to the dimension of the problem. To draw an analogy, would the
professional distance of physicians be 

[More ...]

Qattea, I., Farghaly, M. A., Elgendy, M., Mohamed, M. A., & Aly, H. (2022).
Neonatal hyperbilirubinemia and bilirubin neurotoxicity in hospitalized
neonates: analysis of the US Database. *Pediatric Research*, *91*(7),
1662-1668.

This study found again a lower population rate of jaundice in black infants
in the US --- but what is the physiologic reason? (It is disheartening to
read the conclusion however 

[More ...]

Further to this infor:

https://www.foodsafetynews.com/2023/04/fda-extends-comment-period-for-guidance-on-plant-based-milk-labels/

My personal feeling that this is an issue that must concern us all...
Milk is an important biological tissue that enable the offspring to thrive
via nutrional-functional connection with the mather.

Calling a plant based fluid "MILK" will enable the industry to even more
underline the uniquness of human milk and breastfeeding. 

[More ...]

I have many questions regarding this study. One of the costs they talked about was pumping supplies, almost all moms are eligible for a pump through their insurance or Medicaid.  The pump is the big initial cost.  After that bags or bottles to pump into for storage.  Another cost was increased nutritional intake for mom.  Yes, food costs are up, but for about 500 additional calories a day, this again falls way short of adding up to $11,000 a year even including the Vitamin D for baby.
The most interesting was the time involved in breastfeeding of 3-4 hours a 

[More ...]

Could we be coming up to World Breastfeeding Week? Another one in NEJM

Kennedy AM, Breast or Bottle, the illusion of choice, NEJM Apr 2023

https://www.nejm.org/doi/full/10.1056/NEJMp2300346?

Pamela Morrison

IBCLC Retired, Rustington, England

Yale researchers find that breastfeeding can cost over $11,000 a year -
Yale Daily News
<https://yaledailynews.com/blog/2023/04/14/yale-researchers-find-that-breastfeeding-can-cost-over-11000-a-year/>

I have no words at the moment, so I hope that some of you will find your
voices and respond to these authors!

Stunned,
Rebecca DeYoung-Daniels, MBA, RDN, LD (former IBCLC and MOM to 5 formerly
breastfed kiddos)
Overland Park, KS, USA

I love the scissor hold and consider it a version of the sandwich hold. A
simple way to narrow the breast and/or firm it up so the baby can get a big
mouthful. I learned this early on in my career and still use it now.
Allison

Allison Laverty Montag
Wisconsin

>
> Date: Tue, 18 Apr 2023 22:31:06 -0400
> From: Amy Wagner <[log in to unmask]>
> Subject: Scissor hold
>
> Hello Lactnetters!
> In response to the comments about the “scissor hold,” it is now my go-to
> recommendation for a mother when assisting an infant with latch. A
 

[More ...]

LACTNET - affirming my belief in the wisdom, collegiality and fun of my
colleagues since --- 1995??!!!

Dawn Kersula
Currently teaching for LEC in my dining room in Bellows Falls, Vermont USA

Hello Lactnetters!
In response to the comments about the “scissor hold,” it is now my go-to recommendation for a mother when assisting an infant with latch. A colleague coined it “chop stick fingers” which has a more positive connotation than “scissors” or the old “cigarette hold.” Using this hold, along with biological positioning, has transformed my practice and affirmed my belief in the innate ability of mothers and babies to comfortably breastfeed. 

[More ...]

Sent from my iPhone

> On Apr 15, 2023, at 9:01 PM, LACTNET automatic digest system <[log in to unmask]> wrote:
>
> There are 2 messages totaling 76 lines in this issue.
>
> Topics of the day:
>
> 1. Hand position word (2)
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> http://community.lsoft.com/archives/lactnet.html
>
> Thanks!
>
> LACTNET Facilitators
> Kathleen B. Bruce RN, BSN, IBCLC
> Rachel Myr, midwife, IBCLC
> Kathy Koch PhD
> Linda Pohl
> Karleen Gribble PhD
> Norma Ritter, 

[More ...]

Dear Lactnet Friends:

Scissors hold is ancient: you can see it in art and old photographs.

I found that women with large, pillowy soft breasts would use it
instinctively; it worked for them.

I agree with Pamela Morrison: how can it not be in official favor? Could it
be ergonomically more comfortable than the C-hold? 

[More ...]

When I was a BFHI Assessor many years ago in Zimbabwe, and we asked mothers
to show us how they breastfed (which demonstrated that they had received
the required counselling from the nursing staff who had been through the
BFHI training) - we always knew which mothers had indeed received input -
they were the ones who used the 'C' hold. All mothers who had not received
help to breastfeed used Scissors. Scissors seems to be the default
position, so it always surprises me that we don't officially like it..... 

[More ...]

Scissors hold. Some older sources say not to do that because
it--supposedly--causes blocked ducts. I have personally found it to be a
comfortable hold. And the Virgin Mary apparently does too; if you look at
all the Nursing Madonna paintings, she often uses the scissors hold.

Julie Tardos

This is an odd wondering for you all: When you look at many of the Old Masters paintings of a mother and baby nursing (check out Rubens in particular), the way that many of the mothers shape their breasts is one we all know— the sideways V (greater than or less than sign for us math teachers!) . I remember from years ago that there was a word used to describe that hand shape, I am pretty sure it started with the letter v- does that resonate with anyone in their memory banks? I can’t remember if it was from 

[More ...]

A thank you note from a mom is always so special to receive. At my desk this morning - there was one. Mom wrote: " I just wanted to say thank you for coming to my house last summer after your work day to help me with latching issues. I was so upset that I was having so much pain and I was scared I wasn't going to continue our BF journey. Shortly after you left, I began using all your tips and within 1 week I was pain free and we were thriving. The baby is now 8 months 

[More ...]

A long shot, but if anyone can help, it will be someone in this group.
I used to own "Human Milk in the Modern World" by Jelliffe & Jelliffe,
which did not survive my last move. I do not want to buy another copy, but
I long to re-read, and pass on, a paragraph that was quoted in it. It
quoted an article entitled "Breastfeeding: First Thoughts" which was
written in response to another article called "Breastfeeding, second
thoughts". I don't remember the authors of either articles..... It
pointed out that if breastfeeding problems had received a fraction of the
 

[More ...]

Nikki,

I just spoke with her about 2 months ago; sending you the info privately.

Lisa

Dear Colleagues:

I am seeking contact information for Chele Marmet, to validate something
that she said years ago.

Thank you.

warmly,

Here is one study showing an increase in breastfeeding due to the formula
shortage.

Imboden A, Sobczak B, Kurilla NA. Impact of the Infant Formula Shortage on
Breastfeeding Rates. J Pediatr Health Care. 2022 Dec
15:S0891-5245(22)00337-6. doi: 10.1016/j.pedhc.2022.11.006.

Here is another study showing some deleterious infant feeding practices
during the formula shortage.
https://osf.io/preprints/socarxiv/gx5qr/

Marsha Walker, RN, IBCLC

Hi!

I´ve been contacted by a mother (who is also a medical doctor) who presents
these symptoms (permission to share):

She is the mother of 3 girls and has been breastfeeding nonstop for 11
years. Her current nursling is 4 years old and almost weaned, she nurses
once every 3 or 4 days.

For the last two weeks, she feels a milk ejection reflex sensation every
3-5 minutes, whether she is walking down the street, at home, with or
without her child... sometimes she feels nauseous at the same time. Nothing
stops it or makes it lighter, and there is 

[More ...]

Have there been any studies on the formula shortages last year and in
2020? Infant illness and mortality? Breastfeeding rates? I'm very
curious.

Julie Tardos

Hello to all of you,
A mom is wondering about exclusive breastfeeding or mixed... her first baby
was breastfed 18 months (exclusive 6 months except the part in hospital)
and he suffers intolerance to high-histamine foods. As the mom.

From her health issues, she felt the "histamine affair" was more a
consequence than a fact and - she may have mycotoxins; 

[More ...]

  Belated thanks to those who responded supportively on Lactnet and privately to my sharing of my case study paper of the detransitioned woman who grieved her inability to breastfeed her baby. I do find it disturbing that my paper received a response like that. I do not believe that there is anything in it that is transphobic in any way or harmful to transgender people- to the contrary, it highlights the very poor health care that many transgender people (and detransitioners) are receiving, the poor quality of research underpinning medical treatment (specifically chest masculinisation surgery/mastectomy), and the need for 

[More ...]

Hi!

Thank you for your thoughtful posts on this topic, I think it is
crucial that it be addressed, as mastitis is a very prevalent condition and
one for which there is little hard science...

In my humble opinion, the problem with the current protocol is not its
content, it is that it should not have been published as a protocol. The
content is a series of hypotheses most of which have no good scientific
back up - but they can certainly be valid hypotheses, to be put out there
and tested. This is how science grows. I think if 

[More ...]

Dear Lactnet Friends:

Thank you Pamela for a lovely commentary about mastitis.

The new mastitis protocol has generated a lot of debate, discussion and
disagreement. As I have both recommended and used phytolacca/light
massage/nursing to relieve plugs, and have pictures of plugs that have come
out of breasts, I have a hard time accepting plugs as duct narrowing.
Another question I have is about milk drainage. How much is enough? How
much is too much? How can that be quantified? 

[More ...]

The ABM mastitis protocol has generated conflicting opinions about its
utility and evidence base. A critique of the protocol was published in
Breastfeeding Medicine calling into question some of the recommendations
and the research upon which they are based. While heat is discouraged it is
known that heat application can result in a greater volume of milk being
able to be expressed. Some of the statements and recommendations are not
really backed by any high quality research. There has been lots of
discussion where observations are mentioned but no clear data is being
offered. Perhaps what is needed are some 

[More ...]

Hi Pamela,
I know you and others are having a difficult time with the new recommendations, but I am seeing much faster resolution and happier breastfeeders using the gentler approach. I started going in this direction roughly 15 years ago after hearing Donna Geddes talk on what she was seeing upon ultrasounds of breasts- inflammation!
It’s been a game changer from what I was taught earlier.
I like keeping an open mind and being open to change. I recommend the book
Think Again by Adam Grant 

[More ...]

In July last year there was some discussion of the new ABM protocol on
Mastitis written by Dr Katrina Mitchell. Lacnetters may be interested to
learn that another article on the topic appears in the latest JAMA, again
recommending conservative treatment of mastitis:

Louis-Jacques, Berwick & Mitchell, Risk factors, symptoms & treatment of
lactational mastitis, JAMA 2023;329(7):588-589. doi:10.1001/jama.2023.0004 

[More ...]

Hello everyone,

I have a couple of questions about version for breech baby 36 weeks. If you have expertise in this area, or know someone who does, please contact me privately.

Thanks so much,

Naomi

Hello Lactnetters,
I am shocked and saddened in regards to the negative feedback that has been directly aimed at Karleen Gribble! The article she authored and shared, which I thoroughly read, was a case study. A case study!! No where in the report did I detect negative bias to the individual or the trans community. In contrary, I felt the report effectively shed light on an issue that I may encounter and am now able to effectively support as it provided me with anticipatory guidance and added knowledge to my Lactation “toolkit.”
Thank you, Karleen, for taking the time to 

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I appreciate all the articles on various transgender experiences with
parenting and breastfeeding. I do not appreciate all the bullying. When I
finally read the supposedly offensive article, I found nothing anti-trans
about it. It was a case study of one woman's experience with
detransitioning, which is sometimes a part of a person's trans experience.
The knee-jerk reaction and accusations were uncalled for. Perhaps your
reaction referred to something other than this one article, but then why
post here? 

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Well, Karleen, so much for First Amendment rights for you to speak up.
I thought just being a citizen of our country guaranteed those rights and not having to be a member of some community to be able to speak out.
Where are the monitors of this sight allowing the vitriol occurring?
I have gotten in trouble for saying a lot less worse in the past than what is being said about you.
I have a feeling we will hear something now. I hope so. 

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Karleen,

As you are not a member of the Trans community, you do not get a say in determining if something is anti-trans.

I respectfully ask you to leave us alone. You repeatedly have caused my community harm with your bigoted articles, and opinions, comments, reply’s and refusal to listen & learn (You have had it spelled out to you on numerous platforms, repeatedly). 

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>
> Dear Karleen, bless your heart for asking:
>

> Dear Stephanie,I am guessing that your post is a response to me
> sharing my detransitioner case study paper. I am wondering why you
> feel that the paper is anti-trans health? I would argue that it is the
> opposite If you are able to share, I would appreciate it.Karleen
> GribbleAustralia
> 

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Dear Stephanie,I am guessing that your post is a response to me sharing my detransitioner case study paper. I am wondering why you feel that the paper is anti-trans health? I would argue that it is the opposite If you are able to share, I would appreciate it.Karleen GribbleAustralia P.S. I was one of the reviewers on the BMC paper- as they have an open review process, you can read my review, it will be there on the website somewhere. When the paper talks about a lot of people breastfeeding or chestfeeding, it seems that this was largely individuals who 

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I’m looking ahead to partial retirement and plan to offer private, in home consults. What are the best baby scales out there?

To counter the research and posting of anti-trans health:

https://www.mountsinai.org/about/newsroom/2018/a-transgender-woman-has-exclusively-breastfed-her-baby-and-its-a-dream-come-true-christina-annmarie-diedoardo

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0907-y
Conclusions

The majority of participants chose to chestfeed while some did not due to
physical or mental health reasons. Care providers should communicate an
understanding of gender dysphoria and transgender identities in order to
build patient trust and provide competent care. Further, health care
providers need to be knowledgeable about lactation and chest care following
chest masculinization surgery and during binding, regardless of the chosen
feeding method and through all stages: before pregnancy, during pregnancy,
postpartum, and afterward. 

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Tom Hale states that it poses no risk to the breastfeeding infant.

Frank J. Nice, RPh, DPA, CPHP

Hi Lactnetters, I thought that some might be interested in two papers I have had published in the last couple of weeks. 1. Looks at COVID-19 maternal and newborn care guidelines from 101 countries. "Despite the WHO recommendations, many COVID-19 maternal and newborn care guidelines failed to recommend skin-to-skin contact, rooming-in, and breastfeeding as the standard of care. Irregular guidance updates and the discordant, but influential, guidance from the United States Centers for Disease Control may have been contributory. It appeared that once recommendations were made for separation or against breastfeeding they were difficult to reverse. In the absence of quality 

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Do you if there are any contraindications for breastfeeding with a titanium (or other metal) breast biopsy marker?

Thanks!
Carolyn O Mosier
MSN, IBCLC, RLC

Hi all,
I posted a few days ago about the Lancet/UN launch of the Lancet series on breastfeeding.

There is global interest in this even, but 12:30 PM GMT on a weekday is not convenient for every time zone. Here’s the info on how to access the program afterward.

"Thanks for getting in touch. The launch will be live-streamed at this webpage<https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.who.int%2Fnews-room%2Fevents%2Fdetail%2F2023%2F02%2F08%2Fdefault-calendar%2Flaunch-of-the-2023-lancet-series-on-breastfeeding--including-the-influence-of-commercial-milk-formula-marketing&data=05%7C01%7Cnaomi%40milkbankne.org%7Cfd1dafc0e708485d538008db04701728%7C29232613c7f046d9894c0d2dd25e309d%7C0%7C0%7C638108651730072575%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=uYiD0sIk7991%2ByeOG%2BAG%2FPSKnsqR1uDc13frT6LDc2w%3D&reserved=0> (https://www.who.int/news-room/events/detail/2023/02/08/default-calendar/launch-of-the-2023-lancet-series-on-breastfeeding--including-the-influence-of-commercial-milk-formula-marketing) and the recording will also be accessible on that same page shortly after the event. The recording will also be made available on the Series page on TheLancet.com<http://TheLancet.com>. (https://www.thelancet.com)." 

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https://www.who.int/news-room/events/detail/2023/02/08/default-calendar/launch-of-the-2023-lancet-series-on-breastfeeding--including-the-influence-of-commercial-milk-formula-marketing

Jean Ridler RN RM IBCLC
LongBuckby, UK

For anyone interested in the policy of breastfeeding, Lancet is kicking off its series on Breastfeeding with a panel discussion. Wednesday Feb 8, 12:30-2 GMT, 7:30-9AM ET.

https://www.who.int/news-room/events/detail/2023/02/08/default-calendar/launch-of-the-2023-lancet-series-on-breastfeeding--including-the-influence-of-commercial-milk-formula-marketing<https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.who.int%2Fnews-room%2Fevents%2Fdetail%2F2023%2F02%2F08%2Fdefault-calendar%2Flaunch-of-the-2023-lancet-series-on-breastfeeding--including-the-influence-of-commercial-milk-formula-marketing&data=05%7C01%7Cnaomi%40milkbankne.org%7Cb410a0504627432d62cd08db03d4ab2a%7C29232613c7f046d9894c0d2dd25e309d%7C0%7C0%7C638107984187093036%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=YE%2BqcD%2BcWKOcIyTv06STjkKNgP71HtlvIou3zWtnwrk%3D&reserved=0>

Lancet has a very broad international presence.

The event will be live streamed. I imagine it will be recorded as well, but I don’t have any information about that yet. 

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Hello all,
I am a breastfeeding instructor and staff lactation consultant at a hospital. I have students (then patients when baby arrives) who require ASL interpreters for our interactions. I'd like to be able to give additional resources as it is sometimes difficult to source an interpreter if there is an urgent need. It would also be nice to have a 'library' of resources for our state coalition to promote. (PA Breastfeeding Coalition) state of Pennsylvania USA. Many thanks !

Good day/evening colleagues,

The Maine State Breastfeeding Coalition is working on a couple of documents to help families apply for insurance coverage for donor milk at home. This often requires a letter from their primary care provider addressing medical need of the baby for donor milk. If anyone has any such letters, please send them my way ([log in to unmask]<mailto:[log in to unmask]>) anonymized, of course.
No need to send to the whole list, I’m happy to collect the letters should anyone need one. 

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On Sat, 17 Dec 2022 at 4:01 pm, LACTNET automatic digest system <
[log in to unmask]> wrote:

> There are 2 messages totaling 147 lines in this issue.
>
> Topics of the day:
>
> 1. Breastfeeding employee support hospital
> 2. custody hearing expert witness needed
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> http://community.lsoft.com/archives/lactnet.html
>
> Thanks!
>
> LACTNET Facilitators
> Kathleen B. Bruce RN, BSN, IBCLC
> Rachel Myr, midwife, IBCLC
> Kathy Koch PhD
> Linda Pohl
> Karleen Gribble PhD
 

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Debra

I always love the learning modules you send in to Lactnet, so well
researched and so beautifully explained. Thank you for talking this time
about how infants acquire bottle or breastfeeding skills and how fragile
this learning can be. You also mention that difficulties are addressed in
the new BFHI guidance under Step 9. 

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All Babies

A common thread in professional social media posts and elsewhere is in regard to the difficulties that infants often display in learning or relearning how to breastfeed following a learning experience with an artificial nipple, particularly but not only during early learning.

Such infant feeding difficulties are addressed in the guidance offered in Step 9 of the Ten Steps to Successful Breastfeeding, which advises, "Counsel mothers on the use and risks of feeding bottles, teats and pacifiers." These common infant breastfeeding challenges include difficulty with the oral grasp and/or disorganized sucking, and are reflected in three important precepts 

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Hello All,

Hospital lactation consultants, I need help please! I would like to inquire here about breastfeeding support for employees at a various hospital locations.
Some questions I have are: Does your hospital have a written employee breastfeeding support policy? Does your hospital offer return-to-work breastfeeding support programs that provide products and education? Does your hospital offer breastfeeding classes for their employees, if so, who conducts the classes?
Ramping up breastfeeding employee support is important for many reasons including staff recruitment and retention. I am looking for information to build a comprehensive program to match benchmark standards of support. 

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Hello everyone,
Thanks to all who responded so quickly with articles and information about expert testimony in a breastfeeding/divorce case. Another question, different topic entirely.

Maine State Breastfeeding Coalition is putting together some information and guidance for parents and practitioners regarding coverage for outpatient donor milk. Any templates or sample letters of medical need you can send my way would be most helpful. Please reply privatleyIf people are interested we’ll be happy to post the template we put together. 

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Good evening all,

Permission to post. I received an email from and spoke with someone looking for expert witness for a custody hearing. Baby is 7 months old, exclusively breastfeeding, judge has ordered 2 days - 2 days - 3 days switching between parents. First time baby was with Dad for 2 days, she did not do well. 

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-----Original Message-----
From: Lactation Information and Discussion <[log in to unmask]> On Behalf Of LACTNET automatic digest system
Sent: Wednesday, November 16, 2022 12:01 AM
To: [log in to unmask]
Subject: LACTNET Digest - 12 Nov 2022 to 15 Nov 2022 (#2022-116)

There is 1 message totaling 67 lines in this issue.

Topics of the day:

1. Commentary to ABM Protocol #36 Mastitis Spectrum 

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Hi!

Some colleagues and I wrote a comment to the new Mastitis protocol and it
has just been published. Would love you read your input!

Breastfeeding Medicine VOL. 17, NO. 11
Re: “Academy of Breastfeeding Medicine Clinical Protocol #36: The Mastitis
Spectrum, Revised 2022” by Mitchell et al.
Carmela Baeza, Jose Maria Paricio-Talayero, Monica Pina, and Concepcion De
Alba
Published Online: 14 Nov 2022 https://doi.org/10.1089/bfm.2022.0129 

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My apologies for sending in an out of date link.

This one seems to work, https://www.llli.org/peanut-allergy-2/ accessed 11
Nov 2022

Also, you can find the LEAP study at
https://www.nejm.org/doi/full/10.1056/NEJMoa1414850

Bear in mind that it shows that a grant was received inter alia from the
National Peanut Board.

Maureen Minchin's critique was about this study.

Warm regards

Pamela Morrison

IBCLC 1990-2020 (Retired) 

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