%% brilliantly disguised as impossible situations." %%
> %% definition of a lactation consulting service. %%
> %% Kathleen G. Auerbach,PhD, IBCLC - [log in to unmask] %%
> %% Homewood, Illinois USA %%
> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
>------------------------------
>Date: Sat, 24 Jun 1995 20:46:00 CDT
>From: "Kathleen G. Auerbach" <[log in to unmask]>
>Subject: Re: LACTNET Digest - 23 Jun 1995
>Thanks for your intro. Lucky you, to be in one of the most beautiful
>places in the world (my opinion, anyway).
>We will love to have you on LACTNET. Do not be a lurker. Feel free to
>engage in conversations. There are all levels of experience on LACTNET and
>lots of different professional backgrounds, too. I am sure you will add
>much. and LACTNET was begun just for YOU--people who are isolated.
> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
> %% "We are all faced with a series of great opportunities %%
> %% brilliantly disguised as impossible situations." %%
> %% definition of a lactation consulting service. %%
> %% Kathleen G. Auerbach,PhD, IBCLC - [log in to unmask] %%
> %% Homewood, Illinois USA %%
> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
>------------------------------
>Date: Sat, 24 Jun 1995 20:58:00 CDT
>From: "Kathleen G. Auerbach" <[log in to unmask]>
>Subject: pp depression
>In addition to info sent in by Deena Zimmerman, I want to share what one of
>my lcients has been doing. She has been on PROZAC throughout her
>pregnancy. We talked at length about whether to continue this. I shared the
>extant information on it with a clinical pharmacist and then with the
>mother. The mother chose to continue the PROZAC and has reported NO
>PROBLEMS whatever. This is information to work into the other
>decision-making.
> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
> %% "We are all faced with a series of great opportunities %%
> %% brilliantly disguised as impossible situations." %%
> %% definition of a lactation consulting service. %%
> %% Kathleen G. Auerbach,PhD, IBCLC - [log in to unmask] %%
> %% Homewood, Illinois USA %%
> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
>------------------------------
>Date: Sat, 24 Jun 1995 23:05:55 -0400
>From: "Kathy Rubin, IBCLC, RN" <[log in to unmask]>
>Subject: Topical steroids & BF
>Thanks to all who responded; the mother decided based on all of the info I
>was able to gather for her to cont to BF while using the med--obviously the
>most approp choice. When her pedi got back to town, the pedi also agreed
>(hurray!).
>Thanks for the help--much appreciated.
>Kathy Rubin IBCLC RN, Freehold NJ
>------------------------------
>Date: Sat, 24 Jun 1995 23:06:29 -0400
>From: Alicia Dermer <[log in to unmask]>
>Subject: Re: QUESTION RE: Registered Dietician/Nutrition
>Kathleen: There are excellent guidelines regarding maternal nutrition
>during lactation in the monograph, Nutrition During Lactation, from the
>National Academy Press, Washington, 1991. Although they describe women
>at risk for nutritional deficiencies, including adolescent and poor
>women, they give good guidelines for dietary counselling in these cases,
>and they have no documentation of any women seriously hurt by
>breastfeeding.
>There are a couple of things that bother me about the situation you
>describe, not least of which is the fact that the LC needs to find
>literature to prove benefits. What about having this dietitian provide
>literature demonstrating that women have been hurt by breastfeeding?
>When I hear about someone so hostile and so sure she would never change
>her mind, I have to wonder if there is something personal in this. Maybe
>she has seen a case which she attributed to breastfeeding, and could be
>encouraged to talk about it. If she feels this strongly, it's likely
>that no literature would change her mind. Let's hope that the head of
>her department and other people in authority are more supportive, or at
>least more open-minded. Alicia. [log in to unmask]
>------------------------------
>Date: Sat, 24 Jun 1995 23:47:18 -0400
>From: "Denise Mollenkopf, RNC, IBCLC" <[log in to unmask]>
>Subject: leaking inhibitor
>Hello fellow netters-
>Have any of you had experience with the B___ product that was exhibited last
>year at ILCA? I got a sample, and gave it to a mom with a severe leaking
>problem, with the request that she try it and give me positive/negative
>feedback, but then she moved! I'd like to know if anyone has used it, and
>YOUR feedback!
>Denise
>------------------------------
>Date: Sat, 24 Jun 1995 20:59:44 -0700
>From: "Joseph R. Hollen" <[log in to unmask]>
>Subject: Initiation rates
>Jan,
>Ithink if I read correctly, your birthing center had/has? a 95%
>initiation rate of breastfeeding. Although our birthing center has
>tremendous continuation rates, our initiation rate falls about 80% -
>85%. I know this is still good, however would would you attribute this
>high initiation rate to? We have focused on helping those who want help,
>yet see the need to potentially alter the initiation rate as well.
>Robin Hollen RN, IBCLC
>(Thanks)
>------------------------------
>Date: Sun, 25 Jun 1995 00:06:58 -0400
>From: "<Martha Brower> (mgb)" <[log in to unmask]>
>Subject: Re: RD promotion of formula
>Dear Kathleen:
>Look out, I'm mounting my soapbox -- Harumpffff.
>I would probably start first with the ADA position paper on Breastfeeding
>that was in the April 1993 ADA Journal. It is quite good and well-documented.
> Then there is the AAP position paper on Breastfeeding, Marsha Walker's
>Fresh Look at the Hazards of Formula Feeding (the actual title may be a
>little different) and the Institute of Medicine's Nutrition in Pregnancy and
>Lactation.
>Dietitians are supposed to base their practice on research. I would ask her
>to provide the research that backs up her position. Do you have Maureen
>Minchen's article on Formula Feeding: a Mass Uncontrolled Experiment (I think
>it was from Brith). The Allan Cunningham Bibliographies (I think they are
>available form ILCA) are also a good source (He also published an article in
>Pediatrics about 2-3 years ago on epidemiology & BF).
>You might ask her under which circumstances she recommends processed foods
> as identical replacements for whole, natural foods (why or why not) to her
>other patients. I also would ask her for studies to show that lack of DHA
>in formula is of no consequence (there have been several articles in the ADA
>journal and others about the importance of DHA on brain development--I think
>Wyeth did a whole supplement to one of the Pediatrics journals on it). There
>is no formula right now that provides DHA. (DHA is a long chain
>polyunsaturated omega-3 fatty acid).
>I happen to think that Teenagers should not get pregnant if they are not
>planning to eat a nutritious diet. I do not advocate they terminate the
>pregnancy if they do not eat well......., I try to teach good eating habits
>and often they are receptive. Personally I am not in favor of sacrificing
>either the mother's health OR that of the baby. In my experience, if a teen
>mother wants to breastfeed, she is more likely to be open to eating better,
>especially if you tell it what is in it for HER (nice skin, pretty hair,
>healthy baby, flatter tummy, decreased risk of pre-menopausal breast cancer,
>less butt fat, fewer dishes to do, etc.)
>In defense of dietitians, many receive the same educational message as the
>one you wrote about. I did too. Many educational programs use formula
>company freebies to teach infant nutrition (who is surprised????), so the
>message given is muddled. It would be great if each of us could educate all
>the different allied health professionals about breastfeeding. What a
>difference we could all make.
>Perhaps your RD needs to belong to the Perinatal Nutrition Dietetic Practice
>Group. It is a young practice group (the newsletter editor belongs to
>LactNet!!--I'll let her respond on her own). I submitted (and understand it
>will be published in the fall) an article to the Nutrition Education for the
>Public Practic Group on Breastfeeding education tips (for parent classes), so
>she might get that, if she belongs. (Maybe she does not belong to ADA.) A
>lot of dietitians who are breastfeeding advocates do NOT belong to ADA.)
>You also might want to enlist the aid of WIC dietitians in your area. If
>they are telling the mothers one thing and she is saying something else, the
>patient will be confused. She might be more inclined to listen to other
>dietitians.
>Sounds like she perceives breastfeeding as a WIN-LOSE proposition--the baby
>wins at the expense of the mother OR the mother "wins" by formula feeding and
>the baby "loses" the benefits. The obvious solution is to think of BF as
>WIN-WIN. It is an opportunity to educate mother who may be in a much more
>receptive frame of mind (but this does not make it OK to lie to her by saying
>her milk won't be good unless she eats thus and such....) and, of course,
>baby gets all the benefits of breastfeeding. With all the running around
>these mothers do, their babies will be exposed to a lot of children and germs
>(I call it the "disease of the week club".) Healthier babies mean fewer
>sleepless nights.
>Good luck!! I spoke to our local dietetic group about "Breastfeeding in a
>bottle feeding world" and opened a lot of eyes (especially with that Indian
>mother slide).
>Air....Air... the air is thin up on this soapbox in particular--or maybe it
>is my new advanced age as of Midnight - YIKES.
>Queen Martha (See--I told you there was a dreadful case of factophobia going
>around.... but actually it is probably a case of psychosclerosis--hardening
>of the attitudes)
>------------------------------
>End of LACTNET Digest - 25 Jun 1995 - Special issue
>***************************************************
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