Hi Jeanne,
Many people say many stupid things. I guess we just have to know we will
always be confronted by unfortunately uneducated (re: bfg at least)stupid
people. She is right to challenge the airlines against judgemental
behaviour, and lodge a complaint, but I think that there is probably no
legal issue here. In the other cases,
If I recall, there was real harrassment and even to the point that a mom was
ushered off the plane.
That was an action, not just words. I certainly am not a lawyer, but I hope
perhaps her complaint will at least raise the level of tact and
sensitivity.
Good luck.
Ellen Shein, LLLI, IBCLC
Tel Aviv
***********************************************
Date: Sat, 9 May 2009 13:47:14 -0400
From: Jeanne Schneider <[log in to unmask]>
Subject: Breastfeeding on United Airlines
Hello,
Last night on a flight from Denver to Cedar Rapids Iowa on United Airline= s
my=20 daughter was trying to nurse her crying 9 month old (who by the way is
an= =20 exclusively breastfeed 33 week preemie). It is a bit of a long
story, but= the=20 main point is she was told by the flight attendant she
should have=20 prepared "some other method" of calming her baby during the
flight. She h= as=20 filed a formal complaint and is waiting a response from
the airline.
I know this has happened before and has been challenged legally. I am=20
interested in hearing from anybody who has personal knowledge of such cas=
es=20 as well as ideas for dealing with this. Air travel will be a frequent
occ= urence for=20 this dyad.
Thanks in advance for your thoughts.=20
Jeanne Schneider RN IBCLC
Kirkland Washington USA
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Date: Sat, 9 May 2009 14:34:06 -0400
From: "Beth W." <[log in to unmask]>
Subject: Need help with recurring mastitis/breast pain
Hi everyone, a friend of mine who is studying to become an IBCLC recommen=
ded I ask you guys about my experience, as it's one that has stumped a
couple= of LCs and a UCSF midwife so far.=20
I had a breast reduction in 2001 -- my nipple remained attached throughou=
t, but I don't know much more about the surgery technique than that. I had
a=
baby in March and have been nursing her for 9 weeks. I have not been able=
to breastfeed exclusively, but we breastfeed first and then give her a
bottl= e of formula and let her eat to satisfaction. I am taking domperidone
(90 mg/day), fenugreek and goat's rue to boost my milk supply and build
mamma= ry tissue.=20
In my third week postpartum I developed a fever and then swelling/pain in=
both breasts. I was diagnosed with mastitis and given a 14-day course of
keflex. (I am told that bilateral mastitis is rare, but I was using nippl= e
shields at the time to help my daughter latch on to my flat nipples -- we=
are no longer using them -- and I suspect they caused the infection to
spread to both sides). I felt better within a few days and happily finish=
ed my course of antibiotics. However, I had lingering sharp pains in my
brea= st, particularly around the 7 o'clock area.=20
We stopped using the nipple shields sometime during this infection. Her
latch has since improved and is really good at this point, not causing me=
any pain/injury.=20
Three days after I finished the keflex, I had severe nipple and breast pa=
in in my right breast. It was so bad it radiated into my back. I thought it
= was my Reynauds -- I have vasospasms after nursing that I try to control
by keeping warm. But when I looked at the breast I saw that there was a
huge=
red area near the pain, and within a few minutes I developed chills and
dizziness. I was diagnosed with mastitis yet again and given a 10-day cou=
rse of dicloxacillin. Again, I felt better within a few days and finished
the=
course of antibiotics. This time, I developed some skin irritation on the=
nipple including a blister (not a milk blister) that took time to heal, a=
nd the outer later of skin on my nipple and breast peeled off a bit like a
sunburn. Also, the pain in my breast/nipple continued.=20
I also had an ultrasound of my breast at this time and no abscesses were
found. During the first round of mastitis, a culture of the milk in my ri=
ght breast showed GBS, but during the third round, the culture only grew
skin=
flora.=20
Five days after I finished the diclox, same routine -- exceedingly bad
nipple and breast pain followed by a wedge of redness and heat in the bre=
ast that spread. This time I took 60mg ibuprofen immediately and did not
deve= lop a fever. I was diagnosed with mastitis and put on 7 days of
clindamycin. = I finished that round this morning and am worried the
infection will just c= ome back.=20
In terms of care, during the first few days of each infection, I soaked m= y
breast(s) in warm salinated water before feeds, massaged my breasts befor= e
and during feeds, and took on a number of other self-care approaches,
including drinking a lot of fluids, trying to rest as much as possible,
taking echnicacea/Vitamin C/garlic for my immune system, and lecithin to
think milk clots (3,600mg per day to start - now trying double that). I h=
ave also tried boosting my iron supplementation, taking homeopathic levels
of=
phytolacca, and pumping. I seem to be able to drain my breasts well most =
of the time -- there is one spot that does not resolve, but it isn't where
t= he "wedge" starts and it hasn't changed size or shape in weeks. (Again, I
ha= ve shown no signs of abscess).
For the breast pain, I took a two-week course of dicflucan and supplement=
ed with grapefruit seed extract, thinking maybe it was yeast, but nothing
ha= s changed. If anything the pain has gotten worse.=20
So here's my dilemma:=20
1) I don't know how to get rid of the mastitis and keep it gone
2) I don't know what is causing the breast and nipple pain=20
3) I don't know if the mastitis and pain are related or separate
I saw a UCSF midwife -- who is their leader on mastitis issues in postpar=
tum care -- yesterday and she's stumped. She wants me to see a breast
specialist, which might help academically. I have some theories about wha=
t's going on but want to keep them to myself for the time being because I
wan= t to see what the LCs here have experienced that might be relevant to
my ca= se.=20
I am likely to start a course of B6 for the vasospasm to see if it helps.=
=20
Any help/recommendations would be recommended. I am terrifically frustrat=
ed and feeling quite powerless -- and don't want to give up
breastfeeding.=20=
Thank you so much,=20
Beth
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Date: Sun, 10 May 2009 12:01:06 +1000
From: Karleen Gribble <[log in to unmask]>
Subject: A watershed for Australia
We are finally going to have a universal (well except for very high = income
earners) paid maternity leave scheme. 18 weeks, which is not as = good as it
could be but still very exciting!
A wonderful thing for Australian mums
Karleen Gribble
Australia
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End of LACTNET Digest - 8 May 2009 to 9 May 2009 (#2009-502)
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