Sounds great Susan!!
You're right context is everything....I still want to know about breast
emptying via suckling or pumping, we need that sort of data also!
Karleen Gribble
Australia
> So, in addition to developing an LC exchange program, we could do a
multicultural study on using
> time series analysis - e.g median time to reaching an x% supply as defined
by proportion ot breast
> milk to breast milk substitutes in various cultural settings. The mental
attitude I'm sure has a
> huge amount to do with success. I don't think we need Peter Hartmann's
fancy tools for this
> because what WE need to know is what is the effectiveness of:
>
> 1) Putting baby to the breast
> 2) Using a tube on the breast
> 3) Pumping
>
> It would have to look at the interactive effects of combinations of these
interventions. I would
> probably combine as follows:
>
> Group 1: Putting baby to breast
> Group 2: Putting baby to breast, using a tube
> Group 3: Putting baby to breast, pumping
> Group 4: Putting baby to breast, using a tube, pumping
>
> I would feel that it is unethical to not have a putting baby to breast
group. If we did not have the
> putting the baby to the breast alone group - we would not be able to
determine whether or not
> pumping and using the tube had an interactive effect. It may be unethical
to have a group that is
> just putting baby to breast which would leave this comparison:
>
> Group 1: Putting baby to breast, using a tube, not pumping
> Group 2: Putting baby to breast, not using a tube, pumping
> Group 3: Putting baby to breast, using a tube, pumping
>
> Since we are not dispensing pills, we would not be able to get at
"efficacy" of these interventions.
> However, if we did this in various cultural settings we would be able to
get at "effectiveness" of
> these interventions in different cultures.
>
>
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> ------------------------------
>
> Date: Mon, 12 Sep 2005 07:52:49 EDT
> From: Pamela Mazzella Di Bosco <[log in to unmask]>
> Subject: a hospital who has breastfeeding right
>
> I was at a birth recently, never mind the birth since that story is not as
> perfect as the postpartum time. Haha. Anyway, mom had a cesarean, baby
was
> given to mom right away to hold and be with, then taken to nursery with
dad to
> be checked out and the whole time he was touching her, gently caressing
her
> as the nurses did their routine tasks, and she was not even crying, just
> staring at her daddy....but, and this is the part I was impressed
with...they
> delayed eye ointment AND bathing and said it was important for the baby to
be
> able to see mommy and babies don't get bathed until after they have
> breastfed!!! Baby was quite happy with the arrangement. The nurse very
quickly showed
> mom how to nurse lying almost on her back post op in a way that baby was
> quite comfy and so was mom, baby latched perfectly. Nurse went on to
tell her
> how breastfeeding is just so normal, and babies all want to be breastfed
and
> how perfect her breasts are for breastfeeding, and other wonderful
supportive
> things as the baby happily suckled. Mom just beamed and baby was bright
eyed
> and staring up at mom. Baby nursed for about 30 min., then just let go
and
> fell asleep happy. After a bit, daddy went to nursery with baby for rest
of
> the routine, and then came back again with her. The baby was always with
a
> parent, always being talked to and touched gently and breastfeeding was
> considered the normal choice. When dad asked in the nursery about a
pacifier, they
> told him, 'no, babies who are breastfed need their mothers, not a binky'.
> It was so nice to be going home from a birth and know that the mom was in
good
> hands with breastfeeding. This hospital has 3 IBCLC's on staff and
someone
> is always available, and if the nurse I watched was any indication of
their
> training, mom and baby are going to be just fine!
>
> What a wonderful change of pace!
>
> Best,
> Pam MazzellaDiBosco, IBCLC, RLC
> FL, USA
>
>
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> ------------------------------
>
> Date: Mon, 12 Sep 2005 07:17:00 -0600
> From: Jodine Chase <[log in to unmask]>
> Subject: Re: Breastmilk is poison article
>
> On 9/10/05 11:14 AM, "Darillyn Starr" <[log in to unmask]> wrote:
>
> > I just had a thought that, since the article itself did not use the word
> > "poison" in reference to breastmilk, that possibly the author did not
> > entitle her article as that, but an editor came up with it. IME,
editors
> > can do things that change the whole message that the author was trying
to
> > get across, often with just one word. Sometimes, an editor has a
personal
> > prejudice, and sometimes they just think they understand what an author
is
> > saying better than they really do. You never know!
>
>
> You're right, Darillyn. Newspaper or magazine headlines normally written
by
> someone else - not the article's author. When headlines are inaccurate or
> misleading, most of the time the it's because headline writer has simply
> made a mistake. They are trying up with a clever or snappy headline to
draw
> the reader in to the story. They work under tight deadlines and it's the
> last thing that happens to the story before the page is finalized for the
> printer. There should be a final edit after the headline is created but
> headline errors aren't always caught.
>
> This shouldn't change one's plans to contact a newspaper to criticize a
> misleading or inaccurate headline. It just helps, I think, to know that
the
> original author didn't write the headline.
>
> -- Jodine Chase
>
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> ------------------------------
>
> Date: Mon, 12 Sep 2005 09:59:07 -0400
> From: Naomi Bar-Yam <[log in to unmask]>
> Subject: pasteurizing donor milk
>
> May I add to this question? I'd be interested in hearing about
> pasteurizing policies in other countries as well fpr preeemies and
> others.
>
> Thanks,
> Naomi Bar-Yam
>
>
> On Sep 12, 2005, at 12:06 AM, LACTNET automatic digest system wrote:
>
> > I am wondering if the donor milk used in Norway is pasturized or
> > treated in
> > any other way before being used for their premature infants.
> > Thanks, Chris
>
>
>
> --------------------------------
> Naomi Bar-Yam Ph.D.
> [log in to unmask]
>
> Researcher, Writer, Educator
> in Maternal and Child Health
> --------------------------------
>
>
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> ------------------------------
>
> Date: Mon, 12 Sep 2005 10:01:38 EDT
> From: [log in to unmask]
> Subject: Serum sodium
>
> Sorry, the table did not come through. If anyone wants the slide with the
> table on it, please email me. The reference at the top is correct.
>
> Nancy
> Nancy E. Wight MD, IBCLC, FABM, FAAP
> Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
> Medical Director, Sharp HealthCare Lactation Services
> San Diego, CA
> [log in to unmask]
>
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> ------------------------------
>
> End of LACTNET Digest - 11 Sep 2005 to 12 Sep 2005 - Special issue
(#2005-175)
>
****************************************************************************
**
>
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