There seems to be some confusion about the wording describing Anneleis's
surgery. I thought she meant the common procedure of removing the
nipple WHILE STILL ATTACHED TO the duct system, and then transplanting
it into the appropriate place of the reshaped breast. (Is this what you
meant, Anneleis?) The concerns would then be - not recanalisation - but
(a) surgical damage to nerves and (b) scar tissue and its relevative
rigidity or lack of stretch affecting latch. The first thing I ask
about is the degree of sensation in the nipples. Recent surgery would
seem to be more of a problem than long-ago surgery with nerve
regeneration, but may I stres EVERY CASE is very INDIVIDUAL.
Sometimes any BF problem turns out to be something experienced by
other mothers, rather than from the surgery, but hospital staff have
focused on the surgery. Other times the supply never does build up
fully. Sometimes the ones whom one would expect not to breastfeed,
surprise us, e.g. a woman with a peri-areolar incision for an implant,
on my files. Again, every case is individual.
Virginia
Virginia Thorley, IBCLC
>Date: Sat, 18 Apr 1998 13:00:51 -0400
>Reply-To: Lactation Information and Discussion
<[log in to unmask]>
>From: Automatic digest processor <[log in to unmask]>
>Subject: LACTNET Digest - 18 Apr 1998 - Special issue
>To: Recipients of LACTNET digests <[log in to unmask]>
>
>There are 11 messages totalling 362 lines in this issue.
>
>Topics in this special issue:
>
> 1. upper frenulum
> 2. breastfeeding theme balloons
> 3. bf stats
> 4. Relactation
> 5. speaking of allergies....
> 6. ASK THE AAP LIVE TOMORROW ABOUT BREASTFEEDING
> 7. **Newspaper Article to Share**
> 8. Panic and MER
> 9. Lactnet handmade quilt raffle
> 10. discharge pack refs
> 11. breastfeeding after reduction- nipple removed
>
>
>To post a note to the 1830+ subscribers of LACTNET, send your note to
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>
>For further help, write to Lactnet Listmoms at:
>Kathleen B. Bruce BSN, IBCLC [log in to unmask]
>Kathleen G. Auerbach Ph.D, IBCLC [log in to unmask]
>[log in to unmask]
>
>LACTNET QUILT RAFFLE-
> See details at http://together.net/~kbruce/kbblact.html
>
>----------------------------------------------------------------------
>
>Date: Sat, 18 Apr 1998 08:50:43 -0400
>From: Patty Spanjer <[log in to unmask]>
>Subject: upper frenulum
>
>Yesterday, my 17 month old son, Drew, had to be put to sleep for dental
>work. There were actually holes in his upper four teeth, right along
the
>gum line.
>While he was in the OR we got a call telling us they were going to have
to
>cut the upper frenulum, the connective tissue between the lip to the
gum,
>and restitch it higher. It seems his was so tight and thick, that stuff
got
>caught under it, causing decay. Another benifit of cutting it occured
that
>was unexpected. Nursing Drew has always been uncomfortable and
sometimes
>painful. Now it is not!! The redone frenulum has made a world of
diference!
>I never realized this could make such a difference, and Drew is the 5th
>child I have nursed. I have also done breastfeeding conseling for 20
>years! I thought nursing him was no fun because he has such a strong
suck,
>which he still does, but it no longer hurts! What a learning
experience!
>Today Drew is back to terrorizing his older brother, running around
like
>crazy and demanding to go outside-his normal self.
>Patty Spanjer, IBCLC, Dalton, Georgia
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 08:53:23 -0400
>From: Patty Spanjer <[log in to unmask]>
>Subject: breastfeeding theme balloons
>
>Our breastfeeding coalition needs balloons with a breastfeeding theme
for
>an event we are planning to celebrate Breastfeeding Month. Does
anyone
>have a source you could tell me about?
>TIA
>Patty Spanjer, Dalton, GA
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 09:26:47 +0000
>From: newman <[log in to unmask]>
>Subject: bf stats
>
>Be careful of "breastfeeding stats by country". They do not really
>mean much. Take Canada, for example. The breastfeeding *initiation*
>rate is often quoted as 70%. However, geographically, it varies from
>90% in British Columbia to about 50% in Quebec. But, if you were to
>take women who are part of a family with an income of $40,000 or more,
>you would probably get a breasfeeding initiation rate of 90% in Quebec
>as well, whereas if you looked at women who were on welfare in British
>Columbia, the rate is probably 15% or less. The same is true with
>regard to education, the more the mother has, the more likely she is
>to breastfeed, and so on.
>
>Furthermore, breastfeeding *iniation* is not the same as continuation.
>And dropoff rates are rapid. And, as there is not yet a single baby
>friendly hospital in all of Canada, you can imagine that hospital
>routines are no great shakes and support for breastfeeding in general
>is pretty awful.
>
>Jack Newman, MD, FRCPC
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 09:23:18 EDT
>From: CD566 <[log in to unmask]>
>Subject: Relactation
>
>Hello, I am new here and find all this info wonderful. I am a RN in a
NICU, a
>Peer counselor for 4 years and I also rent pumps. I am sitting for the
exam
>in July. A mom whom I rented a pump to when her babe was 1 week old
called
>me. She weaned at that time. She called because she wanted to
relactate and
>asked if I would help her. Her son is 11 weeks old. During the time
she had
>weaned she had taken Zoloft for PPD. Her pedi said if she wanted to do
this
>she would need to stop the Zoloft. I explained to her the time and
patience
>this would take. After thinking about this she said let's go ahead.
>So, we started. I consulted a Board Certified LC in the area for
assistance.
>The baby latched on well. Mom has been using the supplementer for a
week.
>She has not been using it every time he feeds. The other times she has
been
>using bottles. I explained that this does not help our cause. Over
the week,
>she has said the infant has been clicking on her breast only when she
uses the
>supplementer. When she puts him on without the supplementer he does
not. On
>the side, his weight is okay and he has been taken the same volume of
milk
>throught the 24 hr period. When he clicks mom said she takes him off
and trys
>to put him on correctly but she is getting frustrated.
>Sorry, this is so long. I just need some other input. I want to help
this
>mom and not lead her in the wrong direction. Another question-Can the
>supplementer be used like a H* finger feeder-if he is not latched on
properly,
>also instead of mom giving bottles when not using the supplementer at
the
>breast? I would greatly appreciate anyones input- You can e-mail
privately if
>you like-
>Colleen-CD566@AOL
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 10:31:33 EDT
>From: ADNIL BP <[log in to unmask]>
>Subject: speaking of allergies....
>
>Something new...in over twenty years, I have not encountered this and
wonder
>if any of you have. A happily nursing mom who has been happily
pumping with
>a hospital grade light weight pump at work developed lesions on both
breasts.
>These (as described by the mother) appeared after using the pump for
two
>weeks. Upon placing the shields on the breasts, within moments, she
feels
>irritation, develops"red lines" that go on to look like "cuts" , then
open and
>even begin bleeding. This is on the areolar/nipple junction on both
breasts.
>Her physician dx it as a contact dermatitis caused by the hard plastic
>shields. He put her on a topical cortisone which cleared it up
promptly. (How
>about the baby ingesting this?) Upon reusing the pump (cleaned and
sterilized
>parts), it recurs everytime. She is working and wants to and needs to
keep
>using the pump. I am now looking into getting a glass shield for her,
and in
>the meantime suggested she place a thin white cloth (like a hankerchief
with a
>hole cut in it to keep the plastic off her breasts). I told her this
may
>affect vacuum. I do not know what the plastic is made of, but will
check with
>the company and get more info.
>
>Have any of you seen this, and do you any other suggestions? She is a
super
>person and naturally quite distressed when everything else is going so
very
>well.
>
>Linda Pincus, RN, IBCLC
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 10:02:09 -0500
>From: Julius Edlavitch <[log in to unmask]>
>Subject: ASK THE AAP LIVE TOMORROW ABOUT BREASTFEEDING
>
>Come and ask Dr Joel Alpert Any questions you want during our open
forum at
>the end of the Live chat session tomorrow. Also during the Second part
of
>the session he will be responding live form his computer at home about
AAP
>Lactation GUIDELINES
>
>THis is a rare opportunity and I hope some of you take advantage of it
>
>If you want our complete agenda for tomorrow write me pesonally and I
will
>send it out. I didn't want to take space here for this.
> International Pediatric Chat
> Julius Edlavitch M.D. from Minnnnnnesota
>
**********************************************************************
>
> [log in to unmask]
>
> International Pediatric Chat ***http://www.pedschat.org***
>
> ""International Pediatric Chat supports "Baby-Friendly" efforts
at
>hospitals through out the world and therefore as a policy will never
take
>any support funds from a baby nutrition company.""
>
> "What wisdom can you have that is greater than kindness"
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 09:32:00 -0600
>From: Patricia Lynn Cordeiro <[log in to unmask]>
>Subject: **Newspaper Article to Share**
>
>>Date: Fri, 17 Apr 1998 19:49:29
>>To: [log in to unmask]
>>From: Patricia Lynn Cordeiro <[log in to unmask]>
>>Subject: **Newspaper Article to Share**
>>
>> Here is a newspaper article I fell in love with. It ass
written by
>a free-lance writer in Missoula, Montana named Kim Harvey. Kim gave me
>permission to get it printed in my local newspaper and to share it with
you
>all. However, if anyone wants to do anything besides read it, please
>contact her at PO Box 4682, Missoula, Mt. 59806 or <[log in to unmask]>.
>>
>> ***"Whispering Humans Should Act More like Animals, Let Nursing Moms
>Nurse"***
>>
>> I'm so very glad we live in such an enlightened age. We as a
>society have come a long way in the last 100 years. Women have the
vote and
>can wear pants. In most circles, it is no longer considered a mental
>disorder to be gay.
>>We can all ride the same bus and drink out of the same water fountain.
>Although
>>we have a long way to go, we're getting closer to equality than we've
ever
>been...unless you happen to be a nursing mother.
>>
>> I was in the mall the other day and sitting on a bench was a
young
>mother nursing her baby. Anyway, I think there was a baby under all
that
>draping she had on her shoulder. She was trying hard not to look at
all the
>people passing by who were trying hard not to look at her. I was
trying
>hard to look at everybody.
>>
>> Men were cutting there eyes sideways in an oh-so-inconspicuous
>manner as to appear not to be paying attention. Women were cutting
there
>eyes at the men
>>who weren't paying attention to the fact that there was a woman with a
bare
>breast less than a few feet away from them. Little children were
openly
>staring out if curiosity, and being scolded by their mothers for being
rude.
>Imagine that.
>>
>> Apparently, it's still considered bad taste to breastfeed in
public.
>>
>> There has to be a solution to this that will make everyone
happy.
>If we women are going to insist in feeding our babies in this manner,
we
>should do so in the privacy of our own dark closets at home? We
wouldn't
>want to offend the family pets. This solution probably wouldn't have
worked
>for me. My closets are too full of skeletons and I just don't have the
>inclination to clean them out.
>>
>> Short of mothers staying at home for the duration of babyhood,
or
>training our babies not to get hungry at "inconvenient" times. I'm not
sure
>what the answer is. I suppose we could do something rash like change
the
>attitude of the general public as to what breasts were meant for.
>Realistically, this may be a difficult task. I understand "Baywatch"
has a
>huge following.
>>
>> Wouldn't it be nice if we could all just act like animals when
it
>comes to feeding our young. We manage to act like animals at other
times,
>why not in this instance? I've never seen a cow take her calf behind a
tree
>before she feeds it. She just stands out in the open and lets her baby
eat.
>Amazingly enough the other cows and bulls do not stop grazing to stare.
>Neither do they all turn their backs or mosey to the other side of the
>meadow. There no low whispers, no pointing of hooves, and no animal is
>offended.
>>
>> Even human's attitudes are different when we see animals
nursing.
>To see nature at work fills us with a sense of peace and awe. Maybe
the day
>will come when we'll show nursing mothers the same respect we show
nursing cows.
>>Wouldn't that be something?
>>
>>***************************************************************************
>*****
>>
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 11:48:54 -0400
>From: Janet Vandenberg <[log in to unmask]>
>Subject: Panic and MER
>
>Panic attacks are conditioned to be associated with an event. It
>sounds like this mother has a family history of panic attacks. If
>she had her first attack during MER, her mind could continue to
>associate let-down with panic. This happens for people who have
>their first attack while driving or in a crowded place. They find
>the attacks recur when they enter the same situation.
>
>Feelings of anxiety in the postpartum period are not uncommon. For
>some mothers these feeling intensify into an anxiety reaction and
>become overwhelming. A good book for mothers and professionals is:.
>
>Postpartum Survival Guide by Ann Dunnwold & Diane Sanford, New
>Harbinger Publications, 1994
>
>to get an idea of what's in the book try this site:
>
>http://www.whcws.com/articles/oct94.htm
>
>It is written for mums and includes postpartum anxiety reaction. It
>discusses ideas for coping, types of therapy and the use of
>anti-anxiety medications if absolutely necessary. The book has many
>positive statements about breastfeeding.
>
>If this mother understands more about her feelings perhaps she will
>be able to give breastfeeding a chance. Even if she chooses to wean
>she could still benefit from an exploration of her feelings and
>symptoms of anxiety. She might continue to experience panic
>attacks but associate then with another event.
>
>Janet Vandenberg
>RN, BScN
>Ontario, Canada
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 11:20:11 -0400
>From: Kathleen Bruce <[log in to unmask]>
>Subject: Lactnet handmade quilt raffle
>
>This is a reminder to talk to Jay Simpson if you want to purchase
raffle
>tickets to win the handmade (unsolicited) signed-by-Lactnetters-quilts.
They
>are blue and white, and are scanned in on the page in my signature.
They are
>signed by Kathleen Auerbach, Jan Barger, etc, folks from Lactnet, and
are
>one of a kind.
>
>Jay Simpson is taking ticket sales, at [log in to unmask]
>
>Tickets are inexpensive, and we will be announcing winners (2) in July,
at
>ILCA, and will ship the quilts to the addresses of the winners.
Proceeds to
>go to breastfeeding charities, as yet undefined.
>
>Thanks. Kathleen
>
>Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
>mailto:[log in to unmask]
>LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
> Emily's Mothering Project- http://together.net/~kbruce/proj.html
>For LACTNET quilt raffle: http://together.net/~kbruce/kbblact.html
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 03:49:49 -0500
>From: Diane Wiessinger <[log in to unmask]>
>Subject: discharge pack refs
>
>Anyone have more than the following references on the effect of
discharge
>packs on breastfeeding?
>
>Bergevin Y, Doughterty C, Kramer M. Do infant formula samples shorten
the
>duration of breastfeeding? Lancet 1983;i:1148-51
>
>Dungy CI, Christiansen-Szalaaski J, Losch M, Russell D. Effect of
>discharge samples on breastfeeding. Pediatrics. 1992; 90:233-7
>
>Frank DA, Wirtz SJ, Sorenson JR, Herren T. Commercial discharge packs
and
>breastfeeding counseling: Effects on infant feeding practices
>in a randomized trial. Pediatrics 1987; 80: 845-54
>
>Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY
>
>------------------------------
>
>Date: Sat, 18 Apr 1998 08:02:02 -0700
>From: Terriann Shell <[log in to unmask]>
>Subject: breastfeeding after reduction- nipple removed
>
>The post from Annelies was very interesting. I was wondering and
haven't
>seen this aspect discussed before on Lactnet when discussing this
>subject- if the nipple was removed and replaced, then recanalization
>took place, where would the milk collection sinuses be located? It
seems
>to me they would either be removed with the reduction or located else
>where lower on the breast where the origional nipple location was.
>
>It seems to be that even if recanalization takes place, babies of
>mothers with nipples removed and relocated would not be able to
position
>their gums behind the collection sinuses and would not be able to
>"breastfeed" effectively. They would have to rely on a strong milk
>ejection reflex?????
>
>Any thoughts?
>Terriann Shell,
>Big Lake, Alaska
>
>------------------------------
>
>End of LACTNET Digest - 18 Apr 1998 - Special issue
>***************************************************
>
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