When I had my son (1996) I was given the Mead Johnson diaper bag
for breastfeeding mothers and it had this book in it. I looked at
all of the material in it and then gave it back to the nurse.
Anyway, there was also a standard, your baby's first year sort of
pamphlet in it. The pamphlet stated that breastmilk contained nearly
all of the ingedrients necessary in the first year and that their
complete line of forumlas contained them *all*. Sheesh! I pointed
this out to the nurse.
Wendy Funk, LLLL in No Va.
_______________________ Reply Separator _______________________
Subject: LACTNET Digest - 1 May 1998 - Special issue
Author: <[log in to unmask]> at Internet-Mail
Date: 5/1/98 7:07 PM
There are 12 messages totalling 352 lines in this issue.
Topics in this special issue:
1. Breast abcess -- long
2. Lovely video on frenulum clipping
3. Hydrogel with thrush (2)
4. Rush Mothers' Milk Club -Paula Meier
5. Jain's video on frenulotomy
6. reprints from the Nursing Mothers Companion
7. ILCA Conference Accomodation
8. Palmer - sorry for the odd figures in the last post
9. Cleft palate booklet
10. ANNOUNCING STUDY Expressing Breastmilk After Weaning
11. videos featuring african american women?
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Date: Fri, 1 May 1998 12:42:30 -0400
From: Becky Krumwiede <[log in to unmask]>
Subject: Breast abcess -- long
Well, after quite a few years, the last 7 as a hospital-based LC, I have
seen my first breast abcess, and it was a *big* one. Unlike a recent
poster, I dealt with cooperative MD's who were open to collaboration, and
the mother is still breastfeeding on the unaffected breast. I do wonder in
hindsight, of course, whether we should have seen this coming, since this
was a 5-week postpartum mother we had been dealing with all along.
Comments are very welcome so we can learn from this.
This was a G3P1 mother who reported having "not enough milk" with her first
child, and she thought perhaps she had not breastfed often enough. Baby
was born on 3/15 and was seen by my colleagues several times to deal with
cracked nipples, worse on the right side, and a decreased milk supply. She
is a little slow mentally and it has always been hard to pull from her
exactly what is going on. On 4/1 with phone follow-up she reported not
feeling well, having a cold, and the doctor put her on amoxicillin. On 4/7
my colleague noted a golf-ball sized lump under her right nipple that was
painless and baby got less milk from that side during feeding weights. The
lump was noted to be the same on 4/16, also on 4/16 mom started 3
fenugreek/day and increased to 6/day on 4/19. On 4/21 the lump was larger
and now painful during nursing. Never any reports of fever or feeling
worse than the "cold" symptoms she reported on 4/1. The LC emailed the
doc, was thinking maybe galactocele (we've never seen one of those
either!), mom was seen on 4/22 and started on dicloxacillin. On 4/23 baby
got the most ever during a feeding we weighed (54cc) but the breast was
throbbing. Late on 4/24 she was sick enough to be hospitalized--rt. breast
was sore, swollen, red, and she was started on IV antibiotics.
I saw the mother in person for the first time on 4/25. She was also seen
by a surgeon later that day so I tagged along. The surgeon did not feel
anything indicative of an abcess at that time since the whole breast was
swollen and firm. We had a nice chat at that time--the surgeon (a woman)
was open to whatever pumping, icing, etc. I suggested but didn't quite
understand why the mother didn't just wean to formula. She thought BF was
fine if you had the time, but "surely you don't know any MD's who BF!" I
named off quite a few, and got her a copy of the Dec. AAP statement to read
to gently try a bit of educating.
Mom continued on the IV antibiotics with little change so 4/27 was
scheduled for surgery. Learning from Lactnet, I called the surgeon, spoke
to her assistant, and asked (*really* politely) if she'd please make the
incision radially instead of circumferentially. She called me back herself
to ask why (I explained about cutting less ducts), and we discussed where
the best place to make the incision would be. Later that day she called to
ask me to come down to surgery, had me gown and glove so I could look and
feel inside the mom's breast at what she'd found. (!) First of all I was
impressed and grateful for the learning experience. But oh my
goodness--there was intact breast tissue of about 1/2 inch underneath the
outside skin and nipple of the breast, and breast tissue along the chest
wall, but in the middle there was just a cavern. I could put my fingers
all the way through her breast underneath the nipple and across to the
other side. No wonder she had not been pumping much on that side--the
ductal connections were gone!
After surgery we decided to just see what happened--there was no fullness
at all for about 24 hrs., she pumped then and got 10cc so started pumping
at that point, got nothing a few times and just another few cc's, so we
decided to stop trying. Having seen the internal destruction, there didn't
seem to be a lot of point. It was interesting to me that neither her MD or
the surgeon seemed to know that individual breasts and even individual
lobes of the breast can cease production and the rest continue, so I got a
chance to educate there, also. She went home 4/30 with about a 1" open
incision with drain in place, nursing on the other side. Since her supply
was always marginal I don't know what will happen, but once she's healed
and off the antibiotics we'll probably restart the fenugreek and discuss
Reglan.
In hindsight, I'm thinking maybe the "cold" she had on 4/1 was really a
breast infection, (obvious portal of entry from the badly cracked nipple
earlier) and the painless lump shortly after was the abcess starting?
Should we have seen this coming? She cultured out penicillin-resistant
staph, so the infection would have been resistant to the amoxicillin,
right? Was it just a coincidence that she got so sick after the
dicloxicillin was started? Did the fenugreek have any effect? Thanks for
any thoughts if anybody read this whole thing!
Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin
[log in to unmask] or [log in to unmask]
------------------------------
Date: Fri, 1 May 1998 12:42:33 -0400
From: Becky Krumwiede <[log in to unmask]>
Subject: Re: Lovely video on frenulum clipping
I've used this video to convince doubting doctors. It's available from:
Evelyn Jain, MD
Lakeview Breastfeeding Clinic
6628 Crowchild Trail SW
Calgary, Alberta
T3E 5R8
Tel: (403) 246-7076
Fax: (403) 242-9670
The price is similar to many other moderately-priced breastfeeding videos.
Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin
[log in to unmask] or [log in to unmask]
------------------------------
Date: Fri, 1 May 1998 12:52:14 -0400
From: Becky Krumwiede <[log in to unmask]>
Subject: Hydrogel with thrush
I didn't get any responses at all to my query, so I'll ask one more time.
Do you all think hydrogel dressings can harbor yeast? Is anyone using them
on nipples damaged by presumed thrush? Should we be avoiding hydrogel in
that situation?
Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin
[log in to unmask] or [log in to unmask]
------------------------------
Date: Fri, 1 May 1998 12:02:16 -0500
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: Hydrogel with thrush
At 12:52 PM 5/1/98 -0400, you wrote:
>I didn't get any responses at all to my query, so I'll ask one more time.
>Do you all think hydrogel dressings can harbor yeast? Is anyone using them
>on nipples damaged by presumed thrush? Should we be avoiding hydrogel in
>that situation?
According to the woman who presented at ILCA on hydrogel, the dressing just
has to be changed more frequently. I recommend changing 3 times a day when
yeast overgrowth is present. I have not found it to delay the healing from
the yeast infection. As soon as the other treatments begin to be effective
and nipples are no longer so sore, Mom discontinues the dressing.
Patricia Gima, IBCLC
Milwaukee
mailto:[log in to unmask]
------------------------------
Date: Fri, 1 May 1998 13:27:39 -0400
From: Pat Bull <[log in to unmask]>
Subject: Rush Mothers' Milk Club -Paula Meier
Hello Netters,
Talked to Paula Meier this morning, the poor women is overwelmed with the=
response for the "Welcome to the Rush Mothers' Milk Club" packet. She
would like me to tell those who are interested in ordering this packet to=
make check payable to "Rush Mothers' Milk Club and mail the check (you
still will need to contact the number I gave you or you may chose to
e-mail me and I will tell you the price) to:
Rush-Presbyterian- St. Luke's Medical Center, Attn; Pam Napier, secretar=
y
of Rush Mothers' Milk Club, 1653 W. Congress Parkway, Suite 805 Jones, =
Chicago, IL 60612. These packets are handed out to all the NICU mother=
s.
They are beautifully done, not sponsored by Ross, Mead-Johnson, Medela,
etc. The cost is high to cover all the expenses of making the brochure
(with 2 double-sided pages) and pocket folder to hold the 2 handouts on
"Expressing Hindmilk for Your Baby" and "Expressing Colostrum for Your
Baby". The pocket also holds 2 letters for insurance companys on coverag=
e
for Electric Breast Pump Rental and Baby Weigh Scale Rental. Also
enclosed is their Mothers' Milk Club Newsletter. That is what is availab=
le
to anyone who wants to purchase the packet.. Rush also puts additional
info in the pocket for their mothers there at Rush. Have a good day
everyone and a good weekend..
"......pain is the root of knowledge" by Simone Weil
Pat Bull, RN, IBCLC
The Breastfeeding Connection/Medela
Naperville, IL
------------------------------
Date: Fri, 1 May 1998 13:53:46 EDT
From: Wightsd <[log in to unmask]>
Subject: Re: Jain's video on frenulotomy
I ahve seen this video. It was shown to the attendees of the first ABM
(Academy of Breastfeeding Medicine) meeting Oct 96. A more receptive, pro-
BFing audience than most. It was not received well. It is NOT a randomized,
controlled trial - just an anectdotal series of infants. It did not prove
anything, other than Dr. Jain was doing a procedure well, whether ot not it
was indicated. As far as I know there is no official AAP policy re
frenulectomy - there is nothing in the 1998 Policy Reference Guide. But just
like circumcisions, the jury is still out.
Nancy Wight MD, FAAP, IBCLC
------------------------------
Date: Fri, 1 May 1998 14:16:05 EDT
From: ESUrbas <[log in to unmask]>
Subject: Re: reprints from the Nursing Mothers Companion
In a message dated 98-05-01 12:28:03 EDT, Cindy writes:
<< Is anyone aware that Mead Johnson reprinted part of the Nursing Mothers
Companion by Kathleen Huggins and put the Mead Johnson name on it and
was giving it out in their diaper bags? I was surprised that Kathleen
would allow that , or does she know? It is a 96 page booklet with a
coupon in the back to order the full book from the publishing company
for $14.95
>>
In my non-bf-peer-support life, I am a book editor. Most standard book
contracts give the right to allow reprints, in whole or in part, to the
publisher, not the author.
So, who is Kathleen Huggins's publisher?
Elisheva Urbas
NYC
------------------------------
Date: Fri, 1 May 1998 12:53:49 -0700
From: Amy Ma <[log in to unmask]>
Subject: ILCA Conference Accomodation
Dear all,
I would like to know if anyone (with or without kids) would be interested in
sharing a room with me and possibly my one yr. old at Boca Raton Hotel at
ILCA conference. If interested, please e-mail me privately, thanks all.
Amy Ma, CLE
Redondo Beach, CA
Email: [log in to unmask]
------------------------------
Date: Fri, 1 May 1998 16:05:08 EDT
From: Bpalmerkc <[log in to unmask]>
Subject: Palmer - sorry for the odd figures in the last post
I do not know why there was so much chatter in the last post - remove equal
signs and OAs and it should read better. The equal signs and number 93 and 94
were quotation marks. Typed in a word processor first and then pasted into
eMail program. Something didn't transfer well.
Brian Palmer
------------------------------
Date: Fri, 1 May 1998 16:14:34 -0400
From: Becky Krumwiede <[log in to unmask]>
Subject: Cleft palate booklet
I went searching for a web site Kathy Dettwyler had referred to last May in
order to buy a booklet on breastfeeding and cleft palate. Apparently the
web site is newly up and running, and Jacalyn Miller asked if I would post
the URL for the group. It is for The Alberta Cleft Palate--Craniofacial
Foundation:
http://www.telusplanet.net/public/jgmiller/main.html
More info about this can be found in Kathy's original post of May 20, 1997,
with the subject Cleft Palate. The booklet sounds good, is cheap, and I
will be ordering it pronto.
Jacalyn also referred to another web site at http://www.widesmiles.org/
(WIDE SMILES: Cleft Lip and Palate Resource) that looks like it has a TON
of useful information.
Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin
[log in to unmask] or [log in to unmask]
------------------------------
Date: Fri, 1 May 1998 16:33:51 EDT
From: CBrussel <[log in to unmask]>
Subject: ANNOUNCING STUDY Expressing Breastmilk After Weaning
Dr. Newman and I are still looking for participants for our study. If you can
forward this invitation to another list, please feel free to do so, and let me
know which ones.
Please notice that we have expanded the time period to include women who have
weaned within the last year and can still express breastmilk
.
Carol Brussel
VOLUNTEERS NEEDED
For a study to determine how long breastmilk can be expressed after weaning.
Women who expect to be finished breastfeeding their child within the next six
months are invited to respond.
Volunteers will be asked to answer questions about their breastfeeding
history, and to hand express breastmilk once a month until they are unable to
express milk for three months.
This study will be conducted by electronic mail by Dr. Jack Newman, M.D.,
F.R.C.P.C., and Carol Brussel. For further information contact Carol Brussel
at:
[log in to unmask]
------------------------------
Date: Fri, 1 May 1998 15:54:58 -0700
From: Lyla Wolfenstein <[log in to unmask]>
Subject: videos featuring african american women?
I just got a call from a woman (haven't spoken with her yet) asking if
there are any breastfeeding videos featuring african american women.
Anyone know of anything that fits the bill? I assume she is a health care
provider working with pregnant african american women . ..
Lyla W.
La Leche League Leader - Oakland/Berkeley
[log in to unmask]
------------------------------
End of LACTNET Digest - 1 May 1998 - Special issue
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