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<[log in to unmask]> wrote:
> There are 11 messages totalling 356 lines in this
> issue.
>
> Topics in this special issue:
>
> 1. chin chat
> 2. human milk fortifier
> 3. mastitis and washing nipples
> 4. conference speaker
> 5. finger feeding (2)
> 6. LACTNET Digest - 12 Oct 2000 to 13 Oct 2000 -
> Special issue
> (#2000-1170)
> 7. Finger feeding (2)
> 8. Introduction and a question
> 9. Idiopathic Thrombocytopenia
>
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----------------------------------------------------------------------
>
> Date: Fri, 13 Oct 2000 15:17:34 EDT
> From: Carol Brussel <[log in to unmask]>
> Subject: chin chat
>
> << Slight chin pressure is only helpful if you work
> with the baby, =
> as he has the reflexive wide-open. >>
>
> denise, could you clarify what you mean? i don't
> think i am sure.
>
> carol brussel IBCLC
>
> ------------------------------
>
> Date: Fri, 13 Oct 2000 15:22:42 -0700
> From: Barbara Berges <[log in to unmask]>
> Subject: Re: human milk fortifier
>
> Claudia writes:
> "We have a neo that has told a mom that she needs to
> supplement her twins
> with
> expressed breastmilk plus powdered human milk
> fortifier for the next 4-6
> months. Baby's were born at 30 weeks, were healthy,
> never on a vent, and
> went home 2 weeks ago at appx 36 weeks adjusted
> gestational age. Has anyone
> heard of giving the fortifier for this long?"
>
> I went to the Central New York Breastfeeding
> Connection conference in
> Syracuse, New York yesterday. The subject of the
> day was BF the premature
> baby. Kathleen Marinelli, MD (neonatalogist) and
> Mary Lussiere, RN, IBCLC,
> from Connecticut Children's Medical Center,
> presented.
>
> From this presentation I learned that, although
> human milk fortifiers
> increase calories somewhat, the main reason for
> using them is to increase
> protien, calcium and phosphorus levels in the milk
> to meet the special needs
> of premature babies. This is to approximate the
> rate of growth in utero.
> Once the baby is ready for discharge, he/she is
> close to or at 40 weeks
> corrected gestational age and fortifiers are not
> used because nutritional
> needs are different.
>
> These items were included in the bibliography. I
> don't know what
> information the articles, but maybe something here
> will be the reference you
> need:
>
> Barb Berges BS, RN, IBCLC
> Rochester, New York
>
> Abrams SA, Schanler RJ, Tsang RC, Garza C. Bone
> mineralization in former
> very low birth weight infants fed either human milk
> or commercial formula:
> one year follow-up observation. J Peds 1989;
> 1041-1044.
>
> Barrett Reis B, Hall RT, Schanler RJ, et al.
> Enhanced growth of preterm
> infants fed a new powdered human milk fortifier: a
> randomized controlled
> trial. Pediatrics 2000; 106: 581-588.
>
> Hall RT, Wheeler RE, Rippetoe LE. Calcium and
> phosphorous supplementation
> after initial hospital discharge in breast-fed
> infants of less than 1800
> grams birth weight. J Periinatol 1993; XIII:
> 272-278.
>
> Lucas A, Fewtrell MS, Morely R, et al. Randomized
> outcome trial of human
> milk fortification and developmental outcome in
> preterm infants. Am J Clin
> Nut 1996; 64: 142-51.
>
> Raiha NC. Human milk feedings for premature
> infants: a historical
> perspective. In Human Milk for
> Very-Low-Birth-Weight Infants. Report of
> the 108th Ross Conference in Pediatric Research.
> Columbus, Ohio, 1999,
> 1-15.
>
> Schanler RJ, Abrams, SA. Postnatal attainment of
> intrauterine macromineral
> accretion rates in low birth weight infants fed
> fortified human milk. J
> Pediatr 1995; 126: 441-447.
>
> Schanler RJ, Henderson TR, Hamosh M. Fatty acid
> soaps may be responsible
> for poor fat absorption in premature infants fed
> fortified human milk.
> Pediatr Res 1999; 45: 290A.
>
> Schanler RJ, Shulman RJ, Lau C. Feeding strategies
> for premature infants:
> beneficial outcomes of feeding fortified human milk
> versus preterm formula.
> Pediatrics 1999; 103: 1150-1157.
>
> ------------------------------
>
> Date: Fri, 13 Oct 2000 14:19:03 CDT
> From: cory schall <[log in to unmask]>
> Subject: mastitis and washing nipples
>
> Hello, my name is Tobey Schall, and I am a
> nursing student at
> the University of North Dakota.
> I just have a few comments on the issues of washing
> the nipples
> with soap and developing mastitis. I nursed my son
> until he was 2
> years old. During that time, I developed mastitis
> once, when my
> son was about one year old. I was not informed from
> my Dr. not to
> wash my nipples with soap, which during the whole
> time I breastfed
> was a normal occurance for me. I showered daily,
> and I washed with
> soap. I do not really associate this with me
> devoloping mastitis.
> In a study I found about the difference of sore
> nipples in women
> who washed regularly and women who just kept their
> nipples clean by
> their daily shower or bath, showed no difference in
> the incidences
> of sore or cracked nipples (Centuori, Burmaz,
> Ronfani, et al.,
> 1999). I beleive that I developed mastitis because
> my son
> liked to nurse on one of my breasts more than the
> other (right more
> than left). I beleive that milk stasis was the
> reason for my
> development of mastitis, because I only developed it
> in my left
> breast. According to Mohrbacher and Stock
> (1997),frequent nursing will
> prevent mastitis from becoming worse and aid in its
> treatment. Well, my son
>
=== message truncated ===
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