I'm trying to determine the best assessment tool to diagnose posterior tongue tie. What are Lactnetters using?
Thanks,
Mary Griffin Kellogg, MD, IBCLC
Monroe, CT
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From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of LACTNET automatic digest system
Sent: Sunday, September 22, 2013 12:00 AM
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Subject: LACTNET Digest - 20 Sep 2013 to 21 Sep 2013 (#2013-508)
There are 3 messages totaling 137 lines in this issue.
Topics of the day:
1. hysterectomy (2)
2. NYTimes.com: John Kennell, Advocate of Infant Bonding, Dies at 91
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Date: Sat, 21 Sep 2013 01:12:20 -0400
From: Elizabeth Boggs <[log in to unmask]>
Subject: Re: hysterectomy
Ginger-
Yes, I'd assume her risk of dehiscence is more in line with a total abdominal hysterectomy.
I confess I'm intrigued by the idea of a cesarean hysterectomy with pelvic floor repair. I trained (very recently) in a program that emphasized avoiding any "elective" surgery at the time of a cesarean delivery because the blood flow to the pelvic viscera is so high and the risk of hemorrhage increased.
I can't imagine I'd be performing a c-hyst for anything other than a placenta accreta or similarly dire situation. Which, I would think, would make a simultaneous prolapse repair an odd thing to do. I have no knowledge into your particular patient's situation so there may be a *great* reason. I just can't think of it right now!
Best of luck!
Elizabeth
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Date: Sat, 21 Sep 2013 15:58:40 +0900
From: Ginger Chun <[log in to unmask]>
Subject: Re: hysterectomy
I am just greeting all of the from the patient's perspective. I am friendly with her OB , so I will talk to her next week.
Ginger Chun, BA, IBCLC, RLC, LLLL
Sent from my iPhone
On 2013. 9. 21., at 14:12, Elizabeth Boggs <[log in to unmask]> wrote:
> Ginger-
>
> Yes, I'd assume her risk of dehiscence is more in line with a total abdominal hysterectomy.
>
> I confess I'm intrigued by the idea of a cesarean hysterectomy with pelvic floor repair. I trained (very recently) in a program that emphasized avoiding any "elective" surgery at the time of a cesarean delivery because the blood flow to the pelvic viscera is so high and the risk of hemorrhage increased.
>
> I can't imagine I'd be performing a c-hyst for anything other than a placenta accreta or similarly dire situation. Which, I would think, would make a simultaneous prolapse repair an odd thing to do. I have no knowledge into your particular patient's situation so there may be a *great* reason. I just can't think of it right now!
>
> Best of luck!
>
> Elizabeth
>
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Date: Sat, 21 Sep 2013 22:22:02 -0400
From: "Alla Gordina MD, IBCLC, FAAP" <[log in to unmask]>
Subject: Re: NYTimes.com: John Kennell, Advocate of Infant Bonding, Dies at 91
http://www.nytimes.com/2013/09/22/health/john-kennell-advocate-of-infant-bonding-dies-at-91.html?emc=eta1
Alla
--
Alla Gordina, MD, IBCLC, FAAP
General Pediatrics
Breastfeeding Medicine
Adoption and Foster Care Medicine
Global Pediatrics and Family Medicine
NJ Breastfeeding Medicine Educational Initiative
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End of LACTNET Digest - 20 Sep 2013 to 21 Sep 2013 (#2013-508)
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