>There are 8 messages totalling 185 lines in this issue.
>
>Topics of the day:
>
> 1. LACTNET Digest - 7 Jun 1999 - Special issue (#1999-21)
> 2. Afterpains
> 3. positioning
> 4. M-J study
> 5. A nurse and a bottle
> 6. afterpains
> 7. Positioning
> 8. ceu's
>
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>Date: Mon, 7 Jun 1999 22:15:01 EDT
>From: [log in to unmask]
>Subject: Re: LACTNET Digest - 7 Jun 1999 - Special issue (#1999-21)
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>In a message dated 6/7/99 6:00:28 PM Eastern Daylight Time,
>[log in to unmask] writes:
>
><< I asked before, HOW DIFFERENT are these two products, really?
> >>
>
>
>The one for adults helps you go whitewater rafting and zipping down a road in
>a convertible.
>
>( You see how effective their marketing department is-I remember their TV
>ads!!!).
>
>Barb Whitehead, IBCLC
>Ayden NC
>
I am writing in regard to the afterbirth pains at 4 days post partum. I
wonder if she has some retained placental fragments. We just had someone,
unfortunately, pass some fragments at 2 weeks p.p.. I would have her give
her Midwife or MD a call and review her situation. Patty in Chicago, coming
out of lurker status for one moment. P.S., for the record, to site
variation, I breastfed my twins, almost always together and had no uterine
cramp pain, much to my surprize.
>Date: Mon, 7 Jun 1999 22:10:14 -0400
>From: Joyce Blangiardo <[log in to unmask]>
>Subject: Re: Afterpains
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>Elisheva wrote of a G2P2 mom
>+AD4-This time -- baby a week old -- she has utererine cramping with every
>feeding
>+AD4-so severe that she had to let go of the baby to clutch her belly and
double
>+AD4-over +AD4-
>
>
>This seems unusually severe a week postpartum. First time moms may barely
>notice them and they are typically more uncomfortable with each additional
>pregnancy, or in the case of a multiple pregnancy. Fut they generally
>diminish in intensity each day until barely perceptible. The intensity of
>the pain 7 days into it seriously concerns me....perhaps she has some
>retained placental fragments which her uterus is attempting to discharge.
>At what point did she see or discuss this with the midwife? I'd suggest a
>call now followed by a visit to her midwife or physician to explain the
>intensity and explore this possibility.
>
>+AD4-Anyone have any ideas for diminishing this pain+AD4-
>
>Usually a mild analgesic would handle any discomfort at this point. Hers is
>beyond this level from what you describe......
>
>+AD4-Or is there a benefit from these cramps important enough to
>+AD4-make it worth suffering gracefully?+AD4-
>
>The purpose of the contractions is to involute the uterus. To enable it
>return to close to prepregnant size. But worth suffering gracefully? No,
>she should not have to suffer at all IMO, gracefully or not. Please urge
>her to follow up on discovering the cause of this level of discomfort now.
>Joyce Blangiardo RN, LCCE, FACCE, IBCLC
>on boiling hot and humid Long Island, NY
>LamazeLady+AEA-msn.com
>
>Date: Mon, 7 Jun 1999 22:43:38 EDT
>From: [log in to unmask]
>Subject: Re: positioning
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>Cynthia:
>
> take a good look at shiela kitzingers 'new" book... from a positioning
>perspective.
>
> Patricia
>
>Date: Mon, 7 Jun 1999 16:31:38 -0500
>From: bclesperance <[log in to unmask]>
>Subject: M-J study
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>
>Carol, I agree that this study, because it went through an IRB, would have
>to have explored the risks to the patient and that these risks would have
>to be communicated to the patient; however, I wonder how thorough they were
>when including "risks" of formula in their proposal? The reviewers made
>their decision based on the proposal they were given. Were they given
>complete information? Any way possible to get the proposal or a copy of the
>consent form? I have never tried this, but I wonder if it is possible to
>furnish additional information to a review board after it has been
>approved. I am concerned that the mothers who agree to be in this study
>will not have the complete information on what this will do to the health
>of their infant and of the long term consequences.
>Carol L'Esperance, RN, MSN, IBCLC
>Albuquerque, NM 87106 USA
>
>Date: Mon, 7 Jun 1999 23:00:18 EDT
>From: Christine Betzold <[log in to unmask]>
>Subject: A nurse and a bottle
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> I am disheartened that my profession is not aware of the consequences of
>bottle-feeding a baby. You must be aware of the consequences if you are
>celebrating nurses week with a picture of a nurse bottle-feeding a baby. For
>centuries women who hand-fed or fed artificial milk via a bottle lost their
>children. They died of diarrhea, pneumonia and epidemics much more
>frequently than those breastfed. Today bottle-feeding continues to promote
>disease both long and short-term. Children bottle-fed are more likely to
>become ill, die of SIDS and be hospitalized. If they live to become adults
>there is much evidence that they will be adults with chronic diseases such as
>diabetes, MS, colitis, and heart disease. Promoting a behavior that causes
>illness is not consistent with the tenets of our profession, therefore it is
>essential that we strongly promote breastfeeding. Promotion of breastfeeding
>is a health education and health promotion issue. It is public health issue.
> It is a nurturing behavior. IT IS WELLNESS and NORMALCY. I implore you to
>change your ad for nursing week. Maybe a nurse helping a mom breastfeed.
>Christine Betzold MSN FNP
>
>Date: Mon, 7 Jun 1999 20:15:10 PDT
>From: laurie wheeler <[log in to unmask]>
>Subject: afterpains
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>
>Elisheva
>I agree w/ the many suggestions re pain relief for the afterpains. I was
>going to suggest the Ca/Mg suppls.
>However, THIS DOES NOT SOUND NORMAL TO ME. Afterpains usually subside in 3-4
>days - usually - and I have never had that degree of pain reported to me.
>Now, surely this CAN BE w/i the range of normal, but I would recommend a
>recheck w/ the midwife or doc. Maybe a retained fragment, infection?
>Laurie
>
>Laurie Wheeler, RN, MN, IBCLC
>Violet Louisiana, USA
>
>
>
>_______________________________________________________________
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>
>Date: Mon, 7 Jun 1999 21:27:09 -0500
>From: bclesperance <[log in to unmask]>
>Subject: Positioning
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>
>Before we can research "positioning" we have to define it.
>Carol L'Esperance, RN, MSN, IBCLC, Albuquerque, NM
>
>Date: Mon, 7 Jun 1999 22:51:57 -0500
>From: Denny Rice <[log in to unmask]>
>Subject: ceu's
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>
>Help! I'm in the sorry position of needing ALL of my ceu's to keep my IBCLC!
>Due to an endless string of medical emergencies and complications, and having
>twins in 95, I have not done the necessary cont. ed. How can I find all sources
>of potential CEUs that hopefully won't cost me a fortune?
>I live in Dallas, Texas, USA
>Denny
>
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