Val,
You probable already suggested this, but this is what I tell moms about nursing a older baby. Even though she is nursing only a couple times per day, the milk changes so the smaller amount is increased in nutrition to meet her baby's needs. Sort of like taking a vitamin. It's great for those finicky toddlers!
Terry Carson RN, IBCLC
Automatic digest processor wrote:
> Subject: LACTNET Digest - 5 Jul 1998 to 6 Jul 1998 - Special issue
> Date: Mon, 6 Jul 1998 12:19:06 -0400
> From: Automatic digest processor <[log in to unmask]>
> Reply-To: Lactation Information and Discussion <[log in to unmask]>
> To: Recipients of LACTNET digests <[log in to unmask]>
>
> There are 12 messages totalling 570 lines in this issue.
>
> Topics in this special issue:
>
> 1. enoxaparin
> 2. Update on C-Sect
> 3. Tongue thrusting
> 4. breastfeeding in public - error & apology
> 5. BF friendly parent-themed periodicals (2)
> 6. Viagra
> 7. LACTNET Digest - 2 Jul 1998
> 8. yeast-infant suspension-Diflucan
> 9. Reasons to nurse toddlers
> 10. Clopidrogrel (Plavix)
> 11. Letter to editor for H.R. 3531
>
> To post a note to the 1830+ subscribers of LACTNET, send your note to
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> Kathleen B. Bruce BSN, IBCLC [log in to unmask]
> Kathleen G. Auerbach Ph.D, IBCLC [log in to unmask]
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> LACTNET QUILT RAFFLE-
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> ------------------------------------------------------------------------
>
> Subject: enoxaparin
> Date: Tue, 1 Jan 1980 00:05:44 +0100
> From: Françoise Railhet <[log in to unmask]>
>
> There is one french study on enoxaparin.
> On 12 women, who were given 20 to 40 mg/day of enoxaparine. Conclusion :
> enoxaparin can be given without problem to BF women.
> Ref : L'allaitement est possible en cas de traitement maternel par
> énoxaparine. M Guillonneau, A de Crepy, C Aufrart et al. Arch Pediatr 1996 ;
> 3 : 512-13.
> Kindly
> Francoise Railhet
> LLL France Medical Associates Program
> [log in to unmask]
>
> ------------------------------------------------------------------------
>
> Subject: Update on C-Sect
> Date: Sun, 5 Jul 1998 22:56:15 -1000
> From: Gloria Buoncristiano-Thai <[log in to unmask]>
>
> I wanted to let everyone know I talked with the LC at our military
> hospital about the women who need to have their C-Section incisions taken
> care of after discharge. She mentioned that the babies can be in the
> same area where mom is being treated and would bring it up with the
> doctors. Also, she thought teaching a family member to care for the
> incision at home would also be a good idea.
>
> She mentioned being at a breastfeeding conference on the Mainland
> recently and wants to implement some new policies. I am keeping my
> fingers crossed.
>
> Thanks again for the suggestions!
>
> Aloha,
> Gloria Thai LLLLeader Hawai'i
>
> _____________________________________________________________________
> You don't need to buy Internet access to use free Internet e-mail.
> Get completely free e-mail from Juno at http://www.juno.com
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>
> ------------------------------------------------------------------------
>
> Subject: Tongue thrusting
> Date: Sun, 5 Jul 1998 23:03:19 -1000
> From: Gloria Buoncristiano-Thai <[log in to unmask]>
>
> More good news!
> I had a call the other day from a mom whose 1 week old baby took about 30
> minutes to latch on before each feed, but then would nurse well. As you
> can imagine, mom was quite upset trying to deal with the situation. The
> baby would keep thrusting her tongue pushing the breast out of her mouth.
>
> My wonderful APL (who is leaving and will be missed greatly) suggested
> having mom hold baby in colic hold and let baby suck on mom's finger for
> a few minutes prior to feeding. Then turn baby over to nurse at the
> breast. I gave this info to the mom. She called me back within 30
> minutes to tell me baby just finished the feeding! Mom was elated and so
> was I. I love it when this happens!
>
> Aloha,
> Gloria Thai LLLLeader Hawai'i
>
> _____________________________________________________________________
> You don't need to buy Internet access to use free Internet e-mail.
> Get completely free e-mail from Juno at http://www.juno.com
> Or call Juno at (800) 654-JUNO [654-5866]
>
> ------------------------------------------------------------------------
>
> Subject: breastfeeding in public - error & apology
> Date: Mon, 6 Jul 1998 19:52:05 +0930
> From: Ellen McIntyre <[log in to unmask]>
>
> Dear All
> A few days ago I sent you a media release on breastfeeding in public. In
> this release it stated that
>
> The survey -- of more than 3400 people in Adelaide's northern suburbs
> --shows
> that 83% of the community believes breastfeeding is not acceptable in
> public.
>
> It should have read that 83% of the community believes bottle feeding is
> more acceptable in public.
>
> I agree that this is not the same and wish to apologise for this error.
> Fortunately I was able to make this change before the media release was
> sent out to the media (print, radio and TV). There has been considerable
> interest in the topic resulting in several radio interviews (5UV, 5AA, ABC
> radio news, AAP) and probably articles in the print media tomorrow.
>
> I am really sorry for causing you distress by mis-stating my results in
> such a negative manner. I do still believe the situation is of concern but
> also feel we can do much to improve it as was suggested in the media
> release.
>
> My apologies again
> Ellen McIntyre, South Australia
>
> ------------------------------------------------------------------------
>
> Subject: BF friendly parent-themed periodicals
> Date: Mon, 6 Jul 1998 01:56:00 -0800
> From: Christine Dangel <[log in to unmask]>
>
> I'm trying to make our small OB unit more breastfeeding
> friendly, and I am looking for suggestions. If this is not
> an appropriate list topic, perhaps you could respond to
> me personally via email.
>
> Our clientele includes mothers who "board" here awaiting
> labor and delivery, as they live in outlying rural areas without
> access to health care. Many times they will be with us for
> 2 to 3 weeks awaiting the birth of their child. We try to provide
> some educational amusements, and for many years our
> unit has subscribed to popular parenting magazines. I
> get upset every time a new issue comes in, looking at all
> the baby-unfriendly "advice" columns and full page ads for
> formula and baby bottles.
>
> We have revised all our patient handouts- pamphlets and
> what haveyou- to promote breastfeeding and we do not give
> out any formula-company sponsored merchandise or
> literature. What I am looking for are suggestions for a
> substitute magazine or magazines that we could provide
> for entertainment and education. This would probably need
> to be a US publication, because of the price of international
> mail.
>
> The two magazines that come to my mind strongly discourage
> vaccinations which I am afraid our unit cannot promote. I have
> considered using the subscription money to purchase one or two BF
> friendly pregnacy/infant/toddler books since I can't think of any
> appropriate periodicals. I'd really like to get a bright, colorful
> BF friendly periodical to catch their eyes though.
>
> Any ideas gratefully accepted!
>
> Chris, RNC
>
> ------------------------------------------------------------------------
>
> Subject: Re: Viagra
> Date: Mon, 6 Jul 1998 07:01:02 -0500
> From: Maurenne griese <[log in to unmask]>
>
> I'm just flabbergasted that Viagra would be covered by Medicaid but
> breastfeeding support and breastpumps are not in some states. However, who
> does one bombard with their opinion on these issues? Mind you, our hard
> earned tax dollars would be paying for this.
> Shall we let Rep. Maloney's office in on this one too? Why are we more
> concerned about men getting an erection than mothers and babies getting the
> help they need with another of life's necessary functions-breastfeeding?
> Infant nutrition or erection-which is more important?
>
> I think need a cup of coffee now....
>
> Maurenne Griese, RNC, BSN, CCE, CBE
> Birth and Breastfeeding Resources http://www.childbirth.org/bbfr
> Manhattan, KS USA
> [log in to unmask]
>
> ------------------------------------------------------------------------
>
> Subject: Re: LACTNET Digest - 2 Jul 1998
> Date: Mon, 6 Jul 1998 07:23:49 -0500
> From: Larry Potts <[log in to unmask]>
>
> This information is for Jeanette Panchula and anyone elso who may benefit. The Lactation Support Center at my hospital in only 9 months old, and has been lots of fun and some work to put together! As in so many other health care institutions, we have come across some bumps along the way in the area on tongue-tie and frenotomy. What has helped a lot so far is a video purchased from Dr. Evelyn Jain from Calgary, Alberta, titled Tongue-Tie: Impact on Breastfeeding, which includes demonstration of frenotomy. Two of our Drs. have seen it and CHANGED THEIR MINDS about frenulum clipping being only a thing of the past. One of our family practice docs has clipped two so far, as an old county FP physician showed her how to do it during her residency years ago just in case she would ever need to do it. But our Pediatricians don't exactly want to refer to an FP. This video is Dr.-to-Dr. One of the dear docs who changed her mind is the medical director of our Lactation program, she wants
> to learn how to perform frenotomy and hopefully she will be willing and able to do it whenever needed. She and I are also arranging a Peds Grand Rounds presentation for August or Sept. on the subject and I am hoping a bf friendly ENT doc will speak. So this is what is working at my hospital, good luck at yours! Dr. Jain's phone/fax is 246-7076, she works at the Lakeview Breastfeeding Clinic in Calgary and gets referrals from other breastfeeding clinics, hospitals, and LCs. I live in Minnesota, which is close to Canada, and was fortunate to learn from her at an all-day conference 2 years ago.
> Just returned from Scottsdale and the BSC conference there was fantastic! Learned a lot and was pleased to meet so many others working in Lactation. I purchased two videos of Dr. Palmer, DDS, and may show them at a Peds Grand Rounds in the future.....shall I serve popcorn????
> Susan Potts, RN, IBCLC
>
> ------------------------------------------------------------------------
>
> Subject: Re: BF friendly parent-themed periodicals
> Date: Mon, 6 Jul 1998 08:58:13 -0400
> From: Patrica Young <[log in to unmask]>
>
> Dear Chris, a sub to New Beginnings, the LLLI magazine would be very
> appropriate. Maybe sub to other mags and "edit" them or put articles in
> plastic pages in a notebook. There are many BF friendly books from Dr
> Sears series, to many (Huggins, Wiggens, LLLI, Renfrew, Kitzinger) books
> with interesting reading and good pix. I'd develop a little library.
> Sincerely, Pat in SNJ
>
> ------------------------------------------------------------------------
>
> Subject: yeast-infant suspension-Diflucan
> Date: Mon, 6 Jul 1998 09:26:03 -0400
> From: Gary and Vickie <[log in to unmask]>
>
> RE: Yeast
> I recently spoke with a Pfizer drug rep who told me about a pediatric oral
> suspension of Diflucan specifically intended to use with infant oral thrush
> once a day x5 days?
> Has anyone used this successfully? Would love feedback. Thanks.
> Jan Archambault RN, CES, IBCLC (NH)
> *****This is what my daughter is currently on, it seems to be working quite
> well, IMHO. Of course it tastes vile and she detests it, but that is pretty
> much par for the course. Our duration is longer, however, I am going to go get
> the second bottle tonight, and the first bottle lasted roughly 2 weeks. It is
> expensive, I sent DH to the pharmacy to get the bottle of Diflucan and the
> Nizoral cream and he had to pay the full amount since she was not on the
> insurance yet and it was over $50 for both. Not as bad as my Rx, but still
> pretty expensive.
> Vickie
>
> ------------------------------------------------------------------------
>
> Subject: Reasons to nurse toddlers
> Date: Mon, 6 Jul 1998 23:11:32 +0800
> From: Val Best RN RM IBCLC <[log in to unmask]>
>
> Hi all,
> I have checked the archives on this topic and am not really getting
> what I want. Bascially I have a really good friend, who today told
> me that she wants to wean her 13 month old, second child, who is
> feeding twice a day, morning and night, because she thinks it is a
> hassle and she can't see why she needs to be breastfed anymore.
> I gave her a bit a story on what I thought, but thought that someone
> out on Lactnet may have some words of wisdom on this one that
> may work better to keep her going, rather than me a friend she
> thinks is just a breastfeeding fanatic. I realize that it is entirely her
> decision and she can do what ever she likes, but if you can help
> me out here, I will feel as if I have done my bit.
> Val in Busselton, Western Australia
> RN RM IBCLC
>
> ------------------------------------------------------------------------
>
> Subject: Clopidrogrel (Plavix)
> Date: Mon, 6 Jul 1998 11:30:03 -0400
> From: "Dr. Tom Hale" <[log in to unmask]>
>
> To : Rachael
> Re : Clopidrogrel (Plavix)
>
> Clopidogrel bisulfate is a platelet aggregation inhibitor. It works slightly
> diffently than aspirin but they accomplish the same thing. It irreversibly
> inhibits platelet aggregation so that platelets must be resynthesized to
> restore activity and this requires a minimum of 5-8 days in adults, probably
> longer in newborns. It's oral bioavailability is 50%.
>
> No data on transfer into human milk is available. I would be somewhat
> reticent to use this product in the breastfeeding mother of a neonate.
> Because of the irreversible inhibition of the platelets, even small amounts
> transferred via milk could suppress platelet function in the newborn.
>
> Warfarin, and low molecular weight heparins are probably fine, but I would
> be really cautious of these platelet antagonists.
>
> Regards
> Tom Hale, Ph.D.
>
> ------------------------------------------------------------------------
>
> Subject: Letter to editor for H.R. 3531
> Date: Mon, 6 Jul 1998 09:17:36 -0700
> From: "Johnson, Martha (PHMG)" <[log in to unmask]>
>
> Hello All,
> I am enclosing my letter to the editor in support of H.R. 3531. Please feel
> free to adapt or copy with your own signature and send to your local
> newspaper. Increase local awareness by using letters to the editor--it's
> free, and very widely read. From Martha Johnson RN, IBCLC in Eugene, Oregon
> where the weather is sublime. Enjoy ILCA to all who are going this year!
>
> <<HR 3531 letter to editor.doc>>
>
> ------------------------------------------------------------------------
>
> Name: HR 3531 letter to editor.doc
> HR 3531 letter to editor.doc Type: Download File (application/msword)
> Encoding: base64
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