Jan said:

<For me, it doesn't seem to matter that I know a lot about cholesterol
and
triglycerides and extra weight....it doesn't seem to matter that I
remember slim
and how good it felt -- or that I know that nothing tastes as good as
slender
feels.  I know all the positives and all the negatives -- so why is
losing
weight and keeping it off so difficult?

Why is continuing breastfeeding so difficult?  What kind of marketing do
we
need to do to *convince* women that they should continue?>

Well said, Jan! Been there, and continue to do that re: weight, as in
"yo-yo dieting". Seems to be about as effective in weight control as
"yo-yo breastfeeding" attempts are in meeting statistical goals for long
term breastfeeding (e.g., giving a little formula now and then, and a
little more tomorrow, and the next day, etc.  . .)!

And then, OTOH, during a distressed 9 p.m. call to me about the baby's
hunger signs after several long nursings,  I had to encourage some
formula supplementation for the clamper baby who had one CST, did well
feeding in the office, then reverted to tongue-humping pattern at home.
This is the very dedicated mother who has widely spaced breasts, no
discernible breast changes in pregnancy, and no engorgement that I could
detect when I saw her on day 5.

Saw her nursing with a bra on after CST in the osteopath's office, and
the bra hid the space between the breasts. So two other very experienced
breastfeeding practitioners observing the feeding saw no clue to possible
insufficient glandular tissue.

Her pediatrician is having them come in every 2-4 days over the holidays,
and after an initial 4 oz gain from discharge weight, there was a 2 ounce
weight loss the next time, but the doc has opted for watchful waiting.
There is to be another weigh-in today at 10 days old. She gives a history
that with the first child, after 5 days of excruciating nipple problems,
she pumped and fed indirectly for three months, but also needed to
supplement with formula. There is no obvious guilt expressed, but she is
very, very reticent to give formula, due to having become very
knowledgeable about breastfeeding.

Today, I will explore with her the feasibility of insurance pumping, and
share the case history in "The Breastfeeding Atlas" (Wilson-Clay and
Hoover), and give information re: Domperidone, to discuss with her
pediatrician. An additional CST is scheduled for next week. She is a real
trooper. But it was time to reiterate Rule # 1 (feed the baby).

Jean
************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html