Debbie,
We recently discussed this article in class. It is an evidence based study that shows that bottle-fed babies were fussier at the breast during transition. I hope it helps.
Huang, Y et al. Supplementation with cup-feeding as a substitute for bottle-feeding to promote breastfeeding. Jr. Chang Gung Medical 32:423-31, 2009.
WarmLLLy,
Jen
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From: LACTNET automatic digest system <[log in to unmask]>
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Sent: Tue, March 16, 2010 12:00:26 AM
Subject: LACTNET Digest - 15 Mar 2010 (#2010-240)
There are 7 messages totaling 254 lines in this issue.
Topics of the day:
1. benefits of alternative feeding methods (2)
2. Seeking a Mentor
3. headaches and breastfeeding
4. MRSA and breastfeeding
5. IBLCE
6. Hormone migraines
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Date: Mon, 15 Mar 2010 20:28:54 -0400
From: Deborah S Dowe <[log in to unmask]>
Subject: benefits of alternative feeding methods
Pat Young wrote...."I think alternative methods depend on what you are trying to accomplish, age
of baby etc. "
Pat,
I am a hospital LC and therefore am primarily interested in newborns and NICU babies. We will use alternative feeding methods to bridge that gap when :
-mothers cannot be in the NICU for a feeding,
-when babies are having a difficult time learning to latch (due to prematurity or the effects of birth interventions)
-when the bili is rising and the Pedi orders supplementation
-when, in spite of reassurance, the mother is convinced "the baby isn't getting anything"
My goal would be to :
#1 Feed the baby!
#2 Preserve the breastfeeding relationship so the baby can transistion back to the breast
#3 Provide the parents with a method that will not disrupt learning to latch but not too cumbersome that the mother will give up completely!
Do you usually recommend one method over another? And, in what circumstances? Are there evidence based studies to recommend a particular method in a certain case?
I tend to lean toward finger feeding but the Pedi's are asking for proof!
Debbie (posting this from home)
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Date: Mon, 15 Mar 2010 20:43:33 -0400
From: Danielle M Bouchier <[log in to unmask]>
Subject: Seeking a Mentor
Hello! I am currently working off of Pathway 3, the mentoring route and I have two fabulous mentors, but I am moving to the Nevada County, California area in June. I am looking for someone who would like to take on a student. I am willing to go from Nevada City-Sacramento and anywhere in between. If you are interested, or know of someone who might be interested, please send me an email and I can tell you a little more about myself. [log in to unmask]
Thank you,
Danielle
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Date: Mon, 15 Mar 2010 19:53:22 -0500
From: Anne Eglash <[log in to unmask]>
Subject: headaches and breastfeeding
Headaches that occur with nursing do happen infrequently. I would
recommend that she work with her primary care physician to come up with
a medication strategy to prevent these headaches. There are lots of
medications available that prevent headaches when taken regularly. She
would need to go thru trial-and-error to see what would be effective,
and discuss other behavioral changes that might help, such as avoiding
caffeine, sugars, chocolate, artificial sweetners.
Anne
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Date: Mon, 15 Mar 2010 19:56:37 -0500
From: Anne Eglash <[log in to unmask]>
Subject: MRSA and breastfeeding
It is ridiculous to expect a mom to pump and dump while she has a MRSA
breast infection. First of all, the baby has already been exposed. Most
breast infections are due to staph aureus, and we don't tell moms to
pump and dump when they have a breast infection. MRSA is staph aureus,
just resistant to certain antibiotics. There is no reason why she would
have to pump and dump with MRSA, and not with methacillin-sensitive
staph aureus (MSSA). This mother should get the doctor to tell her what
his reasoning is, and mention to the doctor that the baby has already
been exposed, and may very likely be the vector anyway.
Anne
Anne Eglash MD
Clinical Associate Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)
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Date: Mon, 15 Mar 2010 18:53:43 -0700
From: "Jaye Simpson, IBCLC" <[log in to unmask]>
Subject: Re: IBLCE
I personally thought it was pretty funny since I had just gotten an e-mail
letting me know that my application to sit the exam this year (10 yrs!!) was
approved and I am all set! LOL!
Warmly,
Jaye
Jaye Simpson, IBCLC, CIIM
Breastfeeding Network
Sacramento, CA
www.breastfeedingnetwork.net
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Date: Mon, 15 Mar 2010 22:30:34 -0400
From: Ellen Rubin <[log in to unmask]>
Subject: Re: Hormone migraines
Does the Mom also get the pain when she pumps? Or only when the baby nurses?
As I imagine Mom's pain management and low supply issues must be quite stressful, I wonder if this puts her at greater risk for anxiety and depression which can be side effects associated with Reglan. On the other hand, I did a quick search on Reglan and migraines and came up with a link that stated Reglan is used off-label to treat migraines.
Ellen Rubin, MA, IBCLC
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Date: Mon, 15 Mar 2010 23:15:22 -0400
From: Minda McGurk <[log in to unmask]>
Subject: Re: benefits of alternative feeding methods
Debbie,
I REALLY encourage the use of an SNS system. Even if there isn't an actual SNS system available, one of my NICU nurse colleagues will tube up a syringe and place to tube next to mom's nipple. We have used it both with a nipple shield and just next to the nipple itself. I personally feel it still gives the baby the sense of nursing and mom the peace of mind that they are so close to getting it!
Not sure if that is what you are looking for. I don't have any evidence based material to support this, though. This is just personal opinion.
Our next option if mom isn't available is typically finger feeds.
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End of LACTNET Digest - 15 Mar 2010 (#2010-240)
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