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Subject:
From:
Susan Majoris <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 28 Jul 1997 05:00:03 -0400
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In reply to the question of the inclusion of manual breast
pumps in the Ross discharge packs. I recently attended a conference put on
by the Alleghany Health Department in Pgh. I saw the pump that will be used
for these packs. In my estimation, and to all those present, it was pretty
obvious that the pump would not do the job, and if replacing the better
grades given out by some of the hospitals - it was a real shame. Just
another way to undermine bf.
It was my understanding that hospitals have the option to say no to the
inclusion of the pump in the packs.  I've already talked with our unit
manager re:these pumps and made it clear that we are only setting moms up
for failure if we include. Has anyone else seen??At 12:00 AM 7/28/97 -0400,
you wrote:
>Date:     Mon, 28 Jul 1997 00:00:06 -0400
>Reply-To: Lactation Information and Discussion <[log in to unmask]>
>Sender:   Lactation Information and Discussion <[log in to unmask]>
>From:     Automatic digest processor <[log in to unmask]>
>Subject:  LACTNET Digest - 27 Jul 1997
>To:       Recipients of LACTNET digests <[log in to unmask]>
>
>There are 10 messages totalling 299 lines in this issue.
>
>Topics of the day:
>
>  1. Need help with DRUG info...  Dr. Hale?
>  2. Constipated Baby and Vegetarian Mom (2)
>  3. IBCLE exam
>  4. Help! BM body fluid?
>  5. Martek - DHA Supplements
>  6. Looking for a conference
>  7. baby bath
>  8. IBLCE Examinees
>  9. BF discharge packs
>
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>Date:    Sun, 27 Jul 1997 14:42:58 -0400
>From:    Andrea Eastman <[log in to unmask]>
>Subject: Need help with DRUG info...  Dr. Hale?
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>Hello,
>
>I need to know about 3 drugs and their compatability with breastfeeding:
>
>Psorcon (diflorasone diacetate)
>Dovonex
>Diprolene
>
>A mom that rented a pump from me has psoriasis.  It was better during
>her pregnancy.  Now that baby is 14 weeks old, it has come back and is
>covering her whole body.  She has been put on these medications and has
>weaned the baby.  She was very upset at having to stop breastfeeding.  I
>told her I would ask you wise people for information (and citations),
>and she was very greatful.  She is delighted at the possibility of being
>able to breastfeed again if the drugs are compatable.
>
>Any help that you all can give is greatly appreciated!  Does anyone have
>any idea why this psoriasis has worsened during lactation?
>
>Thank you SO much!
>
>Andrea Eastman, MA, CCE, LLLL
>Granville, Ohio
>Gentle Birth Alternatives
>http://www.geocities.com/HotSprings/8978/
>Date:    Sun, 27 Jul 1997 13:41:07 -0500
>From:    "Patricia Gima, IBCLC" <[log in to unmask]>
>Subject: Re: Constipated Baby and Vegetarian Mom
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>>        Ok, here's the situation: Mom has a 6 month old who has been doing
>>fine until they started trying solids a few weeks ago. Only gave baby about
>>1 Tbsp each day (rice cereal or pears) but baby's stooling pattern went
>>from 1/day to nothing for 5-6 days, with stool very hard and difficult to
>>pass (mom had to resort to enema to give baby relief). This has occured
>>twice now; each time, mom has stopped the cereal or fruit by day 3 and
>>baby still had no stool by day 5 or 6. My immediate thought was that baby
>>just isn't ready for solids yet and that's fine with mom, she just thought
>>it was time to start solid foods.
>
>If baby is gaining well and is healthy, I believe that there is no problem
>with her milk even if her diet is not at good as it should be.  I have
>worked with so many babies who have experienced constipation with even a
>tiny bit of solids, that I consider that their digestive system is not
>prepared for other than mother's milk at this time. They always grow into
>eating solids later.  Most of these mothers have exemplary diets and there
>is nothing wrong with either mom or baby.
>
>In the most recent case, the ped wanted the baby to continue on solids even
>though she had gone from a contented thriving baby to one who was obviously
>experiencing intestinal discomfort.  The doc suggested suppositories or
>prunes or such.  Each time mom returned to all breasmilk the baby returned
>to a healthy digestive tract. A baby who is constipated is not getting
>nutrition benefit from whatever foods she is consuming. This baby has
>returned to exclusive breastfeeding and once again, all is well.
>
>So, I think your initial assumption was correct.  There is no reason to
>begin solids at 6 months or any set time for all babies.  My second child
>was almost a year before she began to be interested in solid foods (always
>self-fed), and the transition to these foods was gentle and non-intrusive to
>her nutrition.
>
>There was a good discussion on starting solid foods ( when, what, if, and
>long-term effects) sometime within the past year.  If you have any trouble
>accessing the Archives to retrieve these posts, e-mail me privatly and I
>will assist you.  The Archives are one of my favorite parts of this terrific
>list and I would love to help you experience it.
>
>Welcome to Lactnet.
>
>Patricia Gima, IBCLC
>Milwaukee
>mailto:[log in to unmask]
>Date:    Sun, 27 Jul 1997 14:51:14 -0400
>From:    "L. Jonathan Kramer, P.E." <[log in to unmask]>
>Subject: Re: Constipated Baby and Vegetarian Mom
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Many cereals are iron-fortified - I'd suggest starting with pieces of fruit
>when baby is ready to grab them, probably around 8 or 9 months. (If
>babies needed pureed food, G-d would have given women another set
>of breasts to provide it!)  Unless otherwise compromised, baby should
>do fine on breastmilk alone through at least 12 months (I don't know of
>studies beyond 12 months, but I'd bet they'll show exclusive BFing OK
>a lot longer when/if they're done!)
>
>I'd caution mom not to let solids interfere with BFing, suggest putting
>small cut-up pieces of a mildly laxative fruit (like peaches) on dish in
>front of baby at dinner table, but not feeding (when baby's ready,
>she'll grab them herself!  If constipation still occurs, and there's NO
>iron supplementation, I'd be worried.  I don't know if cut-up prunes are
>safe for so young a child, but I'd ask the pedi if OK.
>
>I'd try to avoid enemas if at all possible.  Baby has no idea of what's
>happening or why yet, only knows mom is doing something that's
>invading her, causing pain and giving her cramps.  If rectal treatment
>is absolutely necessary, a glycerine suppository held in her anus (NOT
>fully inserted!) is much less invasive and painful, and is probably all
>she needs.  Even that should only be used if laxative fruits fail.
>
>Jonathan
>
>On Sun, 27 Jul 1997 00:45:19 -0500, Mary Anne Banaszewski wrote:>
>Ok, here's the situation: Mom has a 6 month old who has been doing
>>fine until they started trying solids a few weeks ago. Only gave baby about
>>1 Tbsp each day (rice cereal or pears) but baby's stooling pattern went
>>from 1/day to nothing for 5-6 days, with stool very hard and difficult to
>>pass (mom had to resort to enema to give baby relief). This has occured
>>twice now; each time, mom has stopped the cereal or fruit by day 3 and
>>baby still had no stool by day 5 or 6.
>
>
>  Only G-d knows the formula for mother's milk
>
>          L. Jonathan Kramer, P.E.
>            [log in to unmask]
>       Graduate Breastfeeding Counselor
>         Student Lactation Consultant
>      Certified Medela Nursing Bra Fitter
>Date:    Sun, 27 Jul 1997 14:06:40 -0500
>From:    "Patricia Gima, IBCLC" <[log in to unmask]>
>Subject: IBCLE exam
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>I want to join all of the well wishers for you who are taking the exam
>tomorrow. I took it last year and, after the good wishes from Lactnetters, I
>asked myself, "How can I not do well with so many people pulling for me?" (I
>did fine.)
>
>I will be thinking of all of you (collectively and individually) and sending
>my love energy to you, feeling good that there will be even more of us to
>carry on this great work that we do.
>
>May you be of clear mind, no fear, and may you trust what you DO know. We're
>with you.
>
>Patricia Gima, IBCLC
>Milwaukee
>
>mailto:[log in to unmask]
>Date:    Sun, 27 Jul 1997 15:40:07 +0000
>From:    Ilene Fabisch <[log in to unmask]>
>Subject: Help! BM body fluid?
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>I'm studying away for the exam tomorrow and found a conflict in the
>literature about BM being or not being a body fluid as far as OSHA is
>concerned.  The most recent literature (BAB 1997) says no but quotes a
>source from 1988.  An LC study course and Riordan and Auerbach (1993)
>say yes.  Which is it? HELP!
>--
>Warmllly, Ilene
>Please come to my "mall"
>http://www.geocities.com/Heartland/4558
>"Contentment is not the fulfillment of what you want,
>but the realization of how much you already have!
>Date:    Sun, 27 Jul 1997 15:56:52 -0400
>From:    Andrea Eastman <[log in to unmask]>
>Subject: Martek - DHA Supplements
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>One of the advertisers at the LLLI Conference was a company called
>Martek.  Their URL is:
>
>http://www.martekbio.com/
>
>They make a DHA supplement for pregnant and lactating women called
>NeurominsPL.  They say that DHA levels in breastmilk of American moms is
>not as high as it should be, and that all lactating women should take
>their supplement...  They say that DHA is added to infant formulas, but
>not in the US yet.   They sent me a video and brochures, and a
>"scientific" study.  Then I checked out their webpage.  You should
>too... They make a product for infant nutrition called Formulaid.
>
>I am so upset that this company is doing this!  Why would I want to give
>any woman the message that her milk is not good enough for her baby?
>
>Yikes, this makes me VERY angry!
>
>I am eager to hear your thoughts on it!
>
>Thanks,
>
>Andrea Eastman, MA, CCE, LLLL
>Granville, Ohio
>Date:    Sun, 27 Jul 1997 15:42:23 -0400
>From:    "Maureen A. McGrail RN,BS,IBCLC" <[log in to unmask]>
>Subject: Looking for a conference
>
>Hello,
>
>My husband and I will be in Atlantic City, NJ, the week of October 13, 1997
>so he can attend a professional conference.  If anyone from that area is
>aware of a breastfeeding or related conference going on that same time frame,
>please e-mail me with info.  I'll also take suggestions on what to do, where
>to eat,  and what to avoid. Thank you,
>Maureen
>Date:    Sun, 27 Jul 1997 16:47:29 +0000
>From:    Ilene Fabisch <[log in to unmask]>
>Subject: baby bath
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>My daughter (second child so I was better read :D ) never did get bathed
>in the hospital.  My husband has VERY dry skin and some areas of
>questionable eczema and I had read about the benefits of leaving the
>vernix on for an extended time and gently rubbing it in.  Of course the
>nurses surely thought I was a nutcase but with my second child I didn't
>care what they thought after all it was MY baby.  I really don't know
>why the nurses make extra work for themselves unless it is because they
>think the mother will be turned off if handed an unbathed baby.  If you
>have no episiotomy there is no blood so no risk to healthcare workers
>(who should not be touching your baby anyway :O ) and I don't think a
>simple bath isn't going to get rid of potential infectious agents
>anyway.  Just MHO.
>--
>Warmllly, Ilene
>Please come to my "mall"
>http://www.geocities.com/Heartland/4558
>"Contentment is not the fulfillment of what you want,
>but the realization of how much you already have!
>Date:    Sun, 27 Jul 1997 13:58:04 -0800
>From:    "Kathleen G. Auerbach" <[log in to unmask]>
>Subject: IBLCE Examinees
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Good luck to each and every one of you tomorrow!  I know that you will do
>well.  Remember the mantra I share with everyone:  YOU ONLY HAVE TO PASS!!!
>
>Give yourselves a day and evening off if you have not already stopped
>studying, get a good night sleep and then celebrate having done the exam
>tomorrow night!
>
>     mailto:[log in to unmask]
>
>"We are all faced with a series of great opportunities brilliantly
>disguised as impossible situations."
>Kathleen G. Auerbach,PhD, IBCLC (Ferndale, WA USA) [log in to unmask]
>WEB PAGE: http://www.telcomplus.com/~kga/lactation.html
>LACTNET archives http://library.ummed.edu/lsv/archives/lactnet.html
>Date:    Sun, 27 Jul 1997 20:06:40 -0400
>From:    "Barbara Hayes, RN, FACCE" <[log in to unmask]>
>Subject: BF discharge packs
>
>My local lactation group has learned that White River pump manufacturers will
>be providing a mini manual pump to the Ross company to include in "free"
>breastfeeding discharge bags to be distributed through hospitals.  We are
>concerned.  Does every woman need a pump? Isn't there a mixed message?  Will
>formula, bottles etc also be included?  AND, most of all, this is supported
>by a ABM manufacturer.
>We do know the Ross logo will be on the pump and all over the bag. Has anyone
>else seen these?  We hear they will be in the New York City area some time in
>August, Barbara Hayes, RN
>

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