Those are great points Jennifer, and I often run into the same issues with
my dietitian hat on. When it becomes sticky for me is, for example, in jobs
where we have to be "evidenced-based" for liability reasons (one of my jobs
is an online nutrition/lactation chat with moms where I often have to refer
to an in-person LC anyway as I can't see latch!).
And a follow-on question - is there a good listing of herbal and non-herbal
galactogogues somewhere? I only find bits and pieces in various books and
resources and would just like a nice list with recommended dosages,
interactions, etc. I don't think Hale has a list like that, but I could be
mistaken.
Thanks!
Theresa
On Sat, May 13, 2017 at 10:22 AM, Jennifer Tow, MA, IBCLC <
[log in to unmask]> wrote:
> What is interesting to me is the presumption that the abx or the power
> pumping are "evidence-based", while the galactagogues are not. Neither abx
> for sinus infections nor power pumping are evidence-based and I doubt much
> of anything that happened in her birth (unless it was at home) was
> evidence-based either. I see so many moms on insane pumping schedules who
> would be making a lot more milk if IBCLCs simply recommended galactagogues
> instead of, or in conjunction with, pumping. Clinical evidence is in fact
> **evidence** and many of us have decades of experience using lactogenic
> foods and galactagogues with immense success. Even more importantly,
> shouldn't IBCLCs know at least as much about increasing milk supply as
> mothers on social media do? This is one reason mothers post comments like
> "I thought you only checked latch" or far worse about the very limited
> skill set that IBCLCs are expected to have based on the IBLCE blueprint. My
> suggestion would be give her the information on the failed use of abx for
> sinus infections so she can decide if she wants to continue, suggest she
> consider immune support to help her body recover, recommend a pbx for her
> ravaged gut (and likely the baby's), review her diet (often abx cause
> stomach distress, especially w/o pbx, that cause folks to change their
> eating patterns), be sure to include lactogenic foods in her diet (we need
> carbs and electrolytes to make milk), and recommend galactagogues such as
> moringa or shatavari or an herbal combination (my preference).
> Rethinking antibiotics for sinusitis—again
> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601684/
>
> Five day vs Ten day (even if there was a reason to give them, is equally
> effective)
>
> https://www.ncbi.nlm.nih.gov/pubmed/15606217
>
>
> Jennifer Tow, BFA, MA, IBCLC, RLC, OMT
>
> Intuitive Parenting Network, LLC
>
> Holistic Lactation Consultant, Holistic Health Coach (focus in nutrition),
> founder Holistic Lactation Institute
>
>
>
>
>
> Date: Fri, 12 May 2017 15:37:44 +0000
> From: Jenny Lawlor-Nigro <[log in to unmask]>
> Subject: Decreased supply on antibiotic
>
> Hello,
>
> I know a mom who is taking Augmentin (antibiotic in the amoxicillin family)
> for a sinus infection. She is on day 3 of a 10-day regiment. Since taking
> it, she has seen her supply go way down. She was recommended several
> galactagogues from her informal network of friends but I know that they are
> not evidence-based practices for boosting supply. I was thinking power
> pumping but she says that she only gets a few drops when she pumps. Also,
> could that potentially result in an over-supply when she goes off the meds?
> Do you have any suggestions for helping to bring her supply back up?
>
> Thanks in advance!
>
> Best,
>
> Jenny Nigro
>
>
> ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email:
> set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>
--
Theresa M. Moutafis, MA, RD, LDN, CDE, IBCLC
Nutrition and Wellness Consultant
Lactation Consultant
(315) 730-1858
[log in to unmask]
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
