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Subject:
From:
"Shannon Sanford, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 13 Feb 2011 00:52:40 -0500
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Pardon my ignorance here, but is Medihoney a prescription-only item?  
(I found the manufacturer's website and read about it, but could not tell if it was a prescription item.)

Secondly, I have recently read several posts about the use of coconut oil for some nipple wounds...
Where does a mom locate coconut oil if she wants to try it?   

Both of these are new ideas to me and I am very excited to learn of them! 

How often should these substances be applied?  
Do they soak in well and rather rapidly so that the next feeding is not of a concern?
How long might a mom utilize this remedy?

Please, teach me - wise ones!

I hate to keep "bugging" everyone for answers to what I feel like should be "basic knowledge" questions, but I am moving through my own steep learning curve right now.  After many years in a hospital setting (thus, primarily having contact only with newborn/NICU baby and with limited opportunities to ever see them again after discharge), I have successfully transitioned into private practice.  I am now cognitively working to bring my book-learned knowledge to life as I meet new clients.  Knowing about something and the experience of seeing something can still be quite different from knowing that you are seeing THE something!  (If that makes sense.)  Tongue-tie is driving me crazy!  I believe.  And, I know, that I am seeing babies that could benefit from a release.  I am very comfortable to tell a mom that in light of x,y, and z, it is my professional opinion that her baby could be nursing better if...and the reason why is...  But, throughout my entire lactational career, I have never once had the opportunity to be with a knowledgable LC as she hands me a baby, tells me to confirm the absolute presence of the Grade III or IV tongue tie because "this" is what I am seeing and "that" is what I am feeling.  Never-the-less, I soldier on.  I have read and re-read every resource that I can get my hands about this topic.  I hand out "reams" of resources on this topic to moms that need it.  Then, their doctor does the dutifully requested "oral exam" and laughs at the whole idea (function? puh-shaw!) and discourages further action.  I  can stand and argue the virtue and importance of tongue function with them anyday, but I honestly find it challenging to reach deep within myself and find the confidence to challenge them specifically about precisely this one particular baby because...  Am I alone when I feel this way?  I often wonder how the "wise ones" got to be so wise.  Who was there 25+ years back, helping them gain their own confidence while they gained their own experience?

So, on that note, please be gentle with me as I ask this last question...

If a small, near-term baby is not effectively transferring milk (even with a correctly fitted shield) and TT is strongly suspected (but not confidently confirmed) AND poor fit is certainly an obvious part of the problem as well (if not THE problem), how much time might pass watching a little baby grow big enough to eliminate poor fit as any further part of the problem?  Logically, I would think that if the problem does not improve as a small baby grows, then (with or without a doctor's confirmation), TT must be the best explanation.  Does poor fit change after weeks or after months? What have you seen?  

Shannon RN, IBCLC (...craving new knowledge, down here in the heart of Texas)

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