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From: LACTNET automatic digest system <[log in to unmask]>
Date: Thu, 18 Mar 2010 00:01:20
To: <[log in to unmask]>
Subject: LACTNET Digest - 17 Mar 2010 (#2010-246)
There are 10 messages totaling 324 lines in this issue.
Topics of the day:
1. change format
2. therapy after frenotomy (2)
3. concerns about informal milk sharing
4. FW: concerns about informal milk sharing (2)
5. Milk Won't Freeze (2)
6. BYO formula?
7. breastmilk leftovers to baby's sibling?
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Date: Wed, 17 Mar 2010 11:25:02 -0400
From: susan forrester <[log in to unmask]>
Subject: change format
Hi,
How do I change how I receive my lactnet daily summaries?
Thanks,
Susan Forrester
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------------------------------
Date: Wed, 17 Mar 2010 08:33:44 -0700
From: Mary Anne Taylor <[log in to unmask]>
Subject: therapy after frenotomy
Hi, I posted on Mar. 3rd about a baby who had a posterior tie clipped and now her tongue is discoordinated. Thanks for the replies, Liz, Kathy,and Jane. It has been over a month now and not much improvement- I have reviewed 'Supporting Sucking Skills' and see somehints about exercises there, but I guess I still don't feel quite confident about which ones to suggest. I guess a little gentle pacifier tug of war and some stretching wouldn't be harmful, but after that thinkI'll refer her to the early intervention program. What the Mom is really wondering, tho, is if she can ignore this til baby's older. I suspect that it's better to deal with it earlier, but wondering what people with more experience would say... Thanks so much, Mary Taylor, IBCLC How long ago was the clipping? With posterior tongue ties, we often see
good results immediately, then the baby disorganizes (I imagine the
tongue gets tired, as it has not had it's full range of motion and
making the right movements is a little difficult, like walking when
you've had a cast removed from your leg). By 5-7 days the baby usually
recovers and is sucking much better. If this is not so, then we start
exercises to help.
Catherine Watson Genna, BS, IBCLC NYC
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------------------------------
Date: Wed, 17 Mar 2010 11:44:31 EDT
From: [log in to unmask]
Subject: Re: concerns about informal milk sharing
Nikki's study submission writes:
Conclusions There is a significant incidence of positive serology among
women interested in donating human milk. This implies that there may be
significant risk associated with peer-to-peer distribution of human milk from
unscreened donors.
~~~ Wow, I wonder how this compares to the incidence of positive serology
in the general population. Good information to know. Women can be caught
between giving their babies the substandard but theoretically standardized
liquid that is AIM and giving their babies live human milk from a loving
friend or a concerned neighbor with unknown status.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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Date: Wed, 17 Mar 2010 09:20:02 -0700
From: Ingrid Tilstra <[log in to unmask]>
Subject: FW: concerns about informal milk sharing
I'm wondering about the 3.3%. It seems like a small number to me, compared
to things like a doubling of risk for diabetes faced by infants who don't
grow on human milk. Is 3.3% really considered 'significant' in the world of
research?
Ingrid
LLLL, IBCLC
British Columbia
Canada
Main outcome measures Results of serological screening tests performed on
potential donors. Results Of 1091 potential donors, 3.3% were positive on
screening serology, including 6 syphilis, 17 hepatitis B, 3 hepatitis C, 6
HTLV and 4 HIV.
Conclusions There is a significant incidence of positive serology among
women interested in donating human milk. This implies that there may be
significant risk associated with peer-to-peer distribution of human milk
from unscreened donors.
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------------------------------
Date: Wed, 17 Mar 2010 12:43:43 -0400
From: Minda McGurk <[log in to unmask]>
Subject: Re: FW: concerns about informal milk sharing
I agree Ingrid.
And in all retrospect, if moms want to get milk privately, they have every right to ask the other mom to be tested and if there is further concern, they can pasteurize at home.
It's still better than giving formula if donor mom is free and clear and milk pasteurized.
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Date: Wed, 17 Mar 2010 12:46:19 -0400
From: Minda McGurk <[log in to unmask]>
Subject: Re: Milk Won't Freeze
What kind of freezer is she attemtping to freeze her milk in and what is the temp on that freezer?
I have been milk banking for quite some time now and I have NEVER heard of this or seen this with our millions of ounces of hundreds of donors that have come through our bank.
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------------------------------
Date: Wed, 17 Mar 2010 13:00:48 -0400
From: Holly McSpadden <[log in to unmask]>
Subject: Milk Won't Freeze
Hi Minda
The breastmilk that won't freeze is in our very nice state-of-the-art commercial freezer in out NICN unit. If you do an advanced search on Lactnet using freeze as your key word you willl find 16 posts about this subject. It obviously has happened to a number of other interested persons. However, there are no explanations. Would you concur that we can use the milk as usual?
Warmly,
Holly McSpadden, IBCLC
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Date: Wed, 17 Mar 2010 14:58:29 -0400
From: Judy Campbell <[log in to unmask]>
Subject: BYO formula?
In practice, at BFHI hospitals, do parents bring in their own artificial feeds if they want to feed it to their babies, but it's not medically neccessary?
What interaction happens when parents want to both bf and substitute at the same time, but staff is teaching exclusivity? Is supplementation less frequent or non exsistant because it's not handy and free of charge to the parent?
thank you,
Judy
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Date: Wed, 17 Mar 2010 19:01:30 -0400
From: Sarah <[log in to unmask]>
Subject: breastmilk leftovers to baby's sibling?
I have a 5 month old baby who has been strictly breastfed. I am overproducing and have alot (30 bottles) in the freezer. Are there benefits to giving my extra milk to my older child? He is 4 and suffers from eczema and cow's milk allergy (which only started after he was weaned at 1 yr old). He has some behavioral challenges and I can't help but wonder if it might help him. Wondered what you all think. I know milk banks are great too...but just wondered.
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------------------------------
Date: Wed, 17 Mar 2010 19:49:27 -0400
From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: therapy after frenotomy
Exactly WHAT is happening with the suck that's not normal? The exercises
we choose are determined by what the baby needs to learn or unlearn!
If the baby's tongue movements are uncoordinated, this might be more
than tt, there might be neuro issues. Sometimes "walking back on the
tongue" and the "slideback" (slide fingertip along tongue midline from
front to about mid tongue) help, as they mimic the normal sequence of
muscle activation for the swallow.
Catherine Watson Genna, BS, IBCLC NYC
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End of LACTNET Digest - 17 Mar 2010 (#2010-246)
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