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Subject:
From:
Mark & Lechia <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 10 Dec 1998 08:09:36 -0500
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text/plain
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Loved it!

Reminds me of the time Barney pulled a tampon from my purse in Danview and
said, "What is this?"

Lechia

-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: Thursday, December 10, 1998 6:49 AM
Subject: LACTNET Digest - 9 Dec 1998 to 10 Dec 1998 - Special issue


>There are 10 messages totalling 364 lines in this issue.
>
>Topics in this special issue:
>
>  1. class for teenagers
>  2. febrile seizure question for physicians--not breastfeeding related
>  3. Another outrageous publication...(LONG rant!)
>  4. NECESSITY of limiting time at the breast for prematures--question/rant
>  5. GOOD NEWS
>  6. Test Weighing again
>  7. Weighing and measuring--the lighter side
>  8. A story and question
>  9. To Laurie
> 10. The breast is like a campfire, not a faucet! (Another rant)
>
>
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>----------------------------------------------------------------------
>
>Date:    Thu, 10 Dec 1998 00:57:37 EST
>From:    "Debbie S. Pierce, RN, PHN, IBCLC" <[log in to unmask]>
>Subject: class for teenagers
>
>Another public health nurse and I will be teaching a breastfeeding class
(!)
>to about 14 delinquent teenage boys and 1 pregnant delinquent teenage girl
>(age 13-18) as part of a series of health-related classes.  These kids are
>mostly ADD or ADHD, are on probation, but are motivated to complete high
>school.  Our classes are scheduled at the end of the day, when they're
either
>very wound up or very shut down.  The other nurse and I have a plan, but
need
>help with some ideas for an interactive game of some type with a
>breastmilk/feeding theme, of course.  If anyone has anything they'd like to
>share that's already created, that would be great, too--why  re-invent the
>wheel?  TIA for any suggestions.
>
>Debbie Pierce, PHN, IBCLC
>Chico, CA
>
>------------------------------
>
>Date:    Wed, 9 Dec 1998 23:33:11 -0700
>From:    The Jones Family <[log in to unmask]>
>Subject: febrile seizure question for physicians--not breastfeeding related
>
>I am reading a book for parents which says that "if [the seizure lasts
>for more than 5-10 minutes, take the child to the nearest doctor or
>hospital.  Seizures that last more than 10-20 minutes may require
>medication to stop them. . . . Even recurrent febrile seizures are not
>harmful and do not result in brain damage, death or epilepsy."  It goes
>on to state that there is no evidence that lowering the temperature by
>giving acetaminophen will prevent a seizure.
>
>This brand new book claims that this information is research based.
>What do you think?  These things don't make sense to me.  If brain
>damage occurs from lack of breathing for 4-6 minutes, how would a 20
>minute seizure (much longer than any seizure I have ever seen) not cause
>brain damage.  During a grand mal seizure the patient stops breathing
>and it is impossible to ventilate him mechanically, to the best of my
>knowledge.
>
>Secondly, if the fever causes the seizure, how is it that lowering the
>fever would not prevent it?
>
>Thirdly, why advise a parent to WAIT if a child is having a seizure.  I
>think they should call for help immediately.
>
>Bonnie Jones, RN, ICCE, IBCLC
>
>------------------------------
>
>Date:    Thu, 10 Dec 1998 00:20:42 EST
>From:    "Carol Schlef, RNC, MSW, IBCLC" <[log in to unmask]>
>Subject: Another outrageous publication...(LONG rant!)
>
>Hi all,
>
>Just about choked on my chocolate today in the bookstore.  I ran across a
book
>entitled, "When Breastfeeding is Not an Option: A Reassuring Guide for
Loving
>Parents".  1998 copyright.  The author, Peggy Robin, breastfed her first
for 7
>months, weaning then in order to become pregnant again (she talks in the
book
>about "breastfeeding's often-unwanted curtailment of fertility").  With her
>2nd, she was hospitalized for mastitis and put on IV antibiotics "but after
>the doctor told me that the source of the infection was most likely
>bacteria...found in my baby's mouth, I became skittish about putting her
back
>on my nipple."  She pumped and bottle-fed a few more weeks until she got
her
>strength back, but by then her baby preferred the bottle.  Duh.  Pumping
and
>bottlefeeding was easier than nursing????
>
>Anyway, the 300-page book was written as a "resource and support" for women
>who CHOOSE to exercise their "right" to formula-feed their babies.  A
sampling
>of various chapters and subheadings:  "Breastfeeding Isn't Free (the bras,
>pumps, LC consults & 'extra food as well as the high price of prescription
>vitamin and calcium supplements' really add up!!);  Breastfeeding Isn't a
>Guarantee of Health; When Bottlefeeding Is Best; 38 Reasons for the Bottle;
>The Overselling of the Breast; Questioning the Claims (she systematically
>shoots "holes" in the "claims" of health advantages)...anyway, you get the
>drift--and that's only through Chapter 2!
>
>OOHHH!!!  I just read the fine print in the copyright info!  This is the
NEWLY
>REVISED version of Bottlefeeding Without Guilt.  Well, thank goodness it's
not
>a SECOND author, just the same one with "new" ammunition...
>
>She has a "quiz" for expectant mothers to help determine if they'll prefer
>breast or bottle for their baby.  Was this in the original book?  I've
glanced
>at it, but never bought it. I may take this one back after I've examined it
a
>bit closer...hate to think I'm helping her make money off of it.  Speaking
of
>which, does anyone know anything about "Prima Publishing"?  Wonder if there
>are any pharmaceutical connections.  She includes 800 numbers for all the
>different formulas, as well as formula club contact #s and (to be fair)
pump
>and other breastfeeding support numbers.
>
>So. Thanks for letting me rant.  Stepping off the soapbox, breathless (how
do
>you manage to do this so often, Kathleen A.??!!) and wiping my brow from
the
>effort.
>
>Chocolate-smeared Smiles,
>
>Carol
>
>------------------------------
>
>Date:    Wed, 9 Dec 1998 23:51:40 -0700
>From:    The Jones Family <[log in to unmask]>
>Subject: NECESSITY of limiting time at the breast for
prematures--question/rant
>
>Have been working with a cute little girl, a little under 4 lb. and 36
>weeks gestation. Mom had PIH.  Feeding orders were originally for nipple
>feeds (although mom planned to breastfeed).  Yesterday I talked first
>the day nurse then the night nurse (both reluctantly) to allow the baby
>to breastfeed before the bottle feed.  I was told that she was required
>to take 30 ml. of formula after the feeding.  Before I left, I
>ascertained the time of the next feeding and instructed the mother (in
>the nurse's presence) to come in at the specified time to breastfeed and
>to ask her nurse to awaken her for subsequent feedings.  This she did.
>
>This evening she willingly breastfed, but was stopped while still
>actively sucking at the first breast because she had already gone over
>her "time limit" and still had to take her 30 cc.  The nurse let me cup
>feed it.  She reluctantly took her required 30 ml. in 15 minutes.  She
>kept opening her mouth wide looking for the breast, which slowed the
>progress of the cup feeding.  She obviously disliked the taste of the
>milk.  When she reached the end of the required 30 ml., she was still
>rooting.  I asked the nurse if she could be put to breast.  I was told,
>"No, she can have more formula.  30 ml. is her minimum."  I replied that
>she did not want or like the formula, but wanted to breastfeed.  I was
>informed that if she breastfed, it would wear her out so that she
>wouldn't take her next feeding.
>
>I can see a reason for limiting attempts at breast, especially for a
>baby who tires easily.  However, this baby was alert and eagerly
>nursed.  Does this make any sense to anyone?  I know it is a widely held
>belief among neonatologists and NNPs in our area that babies shouldn't
>be held too much (even continuously by one parent) and that their
>feeding times should be strictly limited while minimum amounts are
>specified.  This means that these babies are FORCE FED (under the
>euphimisms encouragement and chin support) bottles and denied access to
>the breast!  I wonder how many of these children later develop serious
>feeding problems.
>
>Pumping breast milk and bottle feeding it to the baby is fine, of
>course, and generally encouraged.
>
>Time to put the soap box back under the computer.
>
>Sandra Lang says that for some babies under 35 weeks an hour and a half
>might be too long.  Any other good references on unlimited breastfeeding
>for premies?
>
>Bonnie Jones, RN, ICCE, IBCLC
>from the sunny S.W. USA
>
>------------------------------
>
>Date:    Thu, 10 Dec 1998 00:52:19 -0700
>From:    The Jones Family <[log in to unmask]>
>Subject: GOOD NEWS
>
>Our family practice resident who is on his nursery rotation has decided
>to do his presentation to the other residents on the subject of
>BREASTFEEDING!  He wants to teach them so they will be able to help a
>necessary!
>
>Made my day!
>
>Bonnie Jones
>
>------------------------------
>
>Date:    Thu, 10 Dec 1998 00:33:32 -0700
>From:    The Jones Family <[log in to unmask]>
>Subject: Test Weighing again
>
>Heather,
>
>Your concerns are understandable.  As you noted in your reply to
>Barbara, correctly used as one tool, the right scale can be useful.
>
>You  are coming from the point of view that you assume breastfeeding is
>going well unless proven otherwise (and incorrect use of the scale,
>especially the wrong one, could "prove" otherwise when the baby was
>actually doing well).
>
>My situation is that it is assumed (by many ill-informed doctors and
>nurses) that breastfeeding could not possibly meet the child's needs (to
>maintain his blood sugar, promote growth, prevent or treat
>hyperbilirubinemia, ad infinitum).  However, sometimes "scientific
>measurement" (gaining weight on a scale) can "prove" to the doubter that
>the baby actually is getting milk and might allow the baby to be
>breastfed or even breastfed exclusively instead of being stuffed with
>artificial baby milk (ABM).
>
>Bonnie Jones, RN, ICCE, IBCLC
>
>------------------------------
>
>Date:    Thu, 10 Dec 1998 00:44:07 -0700
>From:    The Jones Family <[log in to unmask]>
>Subject: Weighing and measuring--the lighter side
>
>I recently saw a mom in ICU.  I talked to the mother's nurse about
>bringing the baby up to breastfeed (she was adamant that this was NOT to
>be done--too many germs) or to pump.  This was fine, and mom was to be
>transferred back to OB within a few hours, so it was worth fighting
>about bringing the baby up.
>
>I had the mother pump.  She got a full ounce of milk!  I took it out to
>show it off to her nurse before taking it downstairs.  She said, "Is
>that the normal color?  Will that be enough for the baby (a one day
>old)?"  I could scarcely avoid smiling at her last question, "Should I
>count it as output?!"  I said, "Well, I guess so.  It came from the
>mother."
>
>ICU nurses (including NICU nurses) are compulsive (and have to be) about
>weighing and measuring everything.  Well, it lightened my day, anyway.
>
>Bonnie Jones, RN, ICCE, IBCLC
>from the sunny S.W. USA where it's starting to warm back up after a
>touch of winter
>
>------------------------------
>
>Date:    Thu, 10 Dec 1998 02:56:41 -0500
>From:    Michael Reeder <[log in to unmask]>
>Subject: A story and question
>
>Hello all! =
>
>When I moved to Switzerland two years ago, I was hopeful that I could do
>some bf counseling with the English speaking community here.  I am now
>working with the Childbirth Trust of Basel and have been teaching and
>counseling.  I met with an American mother in August.  She had a mild
>supply problem, which I gave some recommendations for (nothing fancy, pum=
>p,
>Fenugreek, breast compression etc).  She told her Swiss ped about it and =
>he
>was so interested that I wrote him a letter with some articles stating my=
>
>recommendations.  So yesterday I recieved a call from a new Swiss mother,=
> I
>had been recommended by this pediatrician!!  I never dreamed that I would=
>
>be counseling in German!!  And, for some reason they don't cover
>breastfeeding and childbirth words in the German courses  :)  But I went
>and the learning curve for the language was nearly vertical as this sweet=
>
>mother helped me to "fill in the blanks" with my missing bf words!!   A
>really tremendous experience and one that I am grateful to Lactnet for,
>because of all the resources that I can find, even over here!!  =
>
>The doctor also called me and wanted to discuss Fenugreek.  (I had a litt=
>le
>trouble finding the German name, thank you to the person who posted that
>for me! )  He was very supportive of it's use since they use herbs often
>over here, but wondered how and why it worked.  I had to say that I didn'=
>t
>know.  Is there any reasearch or opinions on the action of this herb??   =
>I
>simply told him that it is used throughout the world with good success.  =
>(I
>felt confident with that answer!! )  =
>
>Anyway, thanks again to you all for making Lactnet a terrific resource an=
>d
>I will say again that when you are in a foreign country any small success=
>
>feels like a triumph!!  Yesterday was great!! =
>
>Merilee Reeder =
>
>Basel, CH =
>
>PS  There are many things that we love about CH, but one more thing if th=
>at
>the bf  appears really good over here, even if Nestle is a Swiss company!=
>! =
>
>  =
>
>------------------------------
>
>Date:    Thu, 10 Dec 1998 02:56:44 -0500
>From:    Michael Reeder <[log in to unmask]>
>Subject: To Laurie
>
>To Laurie, =
>
>I didn't think the letter was nasty.  Just truthful.  What is wrong with
>the truth??  Go for it mom !! =
>
>Merilee Reeder =
>
>Basel, CH =
>
>------------------------------
>
>Date:    Thu, 10 Dec 1998 01:43:26 -0700
>From:    The Jones Family <[log in to unmask]>
>Subject: The breast is like a campfire, not a faucet! (Another rant)
>
>Gail,
>
>Wish you were here.
>
>Patient #1.  Neurologist puts mom on Dilantin for questionable seizure
>activity and tells her she must pump and dump.  Newborn is fed formula.
>I express my concern to the nurse who is about to discharge her.  She
>talks to the mom--suggested asking doctor about substituting phenobarb
>or tegretol (carbamapine) which I was quite sure were okay (off the top
>of my head--and they are) while breastfeeding.  I was told doctor will
>probably take her off Dilantin in a couple weeks.  [Just now looked it
>up--Dilantin is also approved by AAP for breastfeeding women]  I ask,
>"And how likely do you think it is that the baby will breastfeed after 3
>weeks (baby already several days old) of exclusively bottle feeding.
>One of the nurses answered that she thought there would be no problem if
>mom had kept up her milk supply by pumping.  How many of YOU buy that.
>
>Just before I left, another mother was told to pump and dump so she
>could take aspirin overnight until the doctor looked at her leg in the
>morning (possible blood clot, I think).
>
>Gail, you must be wrong.  Surely it's just a faucet that you turn on and
>off at will and the baby drinks willingly from this faucet or the other
>one, whichever happens to be on--who cares whether it's orange juiice or
>orange soda--they're the same color.  Well the orange juice might be a
>little better, but both are nutritious; above all, don't feel guilty if
>you choose to provide the soda alone--after all, I grew up on it, and
>I'm ok!
>
>That book of stupid reasons is soon going to be to heavy to carry!
>
>Bonnie Jones, RN, ICCE, IBCLC
>
>------------------------------
>
>End of LACTNET Digest - 9 Dec 1998 to 10 Dec 1998 - Special issue
>*****************************************************************

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