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From: Lactation Information and Discussion
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Sent: Wednesday, January 09, 2008 2:33 AM
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Subject: LACTNET Digest - 8 Jan 2008 - Special issue (#2008-44)
Hello all
I have a distinct memory of attending an Australian Breastfeeding
Association conference several years ago in Perth Western Australia & Sue
Cox was the speaker & she spoke about how it is less stressful to place
baby's prone when weighing, this was within the context of a full lecture on
"The its 24 hours post delivery". If you Google Sue Cox you will obtain info
on her publications.
Disclaimer: I have no financial interest in any publications by Sue Cox .
Libby Fitzpatrick RN,RM,CHN,IBCLC
Community Maternal & Child Health Nurse
Perth Western Australia
------------------------------
Date: Tue, 8 Jan 2008 11:37:14 -0500
From: Janet Tolley <[log in to unmask]>
Subject: weighing newborn infants prone at delivery
I am trying to make a change at our Baby-Friendly Hospital. I know I rea=
d an=20
article or heard a lecture on the reduction of stress when newborns are=20=
weighed on their stomachs after delivery. Does anyone have knowledge of=20=
this. I am meeting with our shared governance board in a couple of weeks=
=20
and would like to present this as a change in practice.
Janet Tolley RNc,BAN,IBCLC, CD,PCD(DONA)
Lactation Program facilitator
St. John's Hospital
Springfield, IL.
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Date: Tue, 8 Jan 2008 11:25:48 -0500
From: Diane Wiessinger <[log in to unmask]>
Subject: "no drinking from a straw"?
I spent a very illuminating 15 min or so drinking from a cup and straw: =
drinking normally, trying not to move my jaw or giving it free motion, =
drinking fast or slow, drinking deeply, monitoring my cheeks and tongue =
and palates, and so on. All the time really trying to analyze what =
structures were coming into play. First of all, it's really hard to =
know just how we do it all. Second, it's utterly cool how we can =
completely separate our breathing from our fluid intake (we can suck in =
liquid and exhale at the same time, no problem). And third, it sure =
feels to me as if my tongue *has* to block most of my soft palate either =
way, during the sucking part. Interesting for all of us to play with, =
just for kicks. =20
But, going back to an older question, it all says to me that my =
tonsillectomy site is pretty much out of play unless I'm really sucking =
voraciously. I would think the post-tonsillectomy child is going to =
avoid painful motions anyway and really doesn't need to be told what is =
and isn't damaging to those incisions. Goodness knows we've all seen =
children who refuse to nurse because of mouth pain of one kind or =
another.
Diane Wiessinger, MS, IBCLC Ithaca, NY USA
www.wiessinger.baka.com
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------------------------------
Date: Tue, 8 Jan 2008 09:33:14 -0800
From: Eva Bild <[log in to unmask]>
Subject: Re: bilirubin and domperidone
Dear Laurie,
I agree, there is cause for concern. There are multiple factors here.
The baby is being supplemented with the mother's EBM, by the way. So you
are right, the baby is not feeding effectively at the breast. The dyad
is being seen by a doctor and a public health lactation specialist in a
nearby town.
The mother called me with those two questions however, can Domperidone
slow a baby's bowels and can bilirubin be reabsorbed from breastmilk stool?
Thank you for your answers, I will pass them on.
Eva
Eva Bild, MA, CD (DONA)
Certified Doula, Childbirth Educator, Breastfeeding Counsellor
Mothering Touch Centre
1562 Fort Street
Victoria, BC
250-595-4905
www.motheringtouch.ca
laurie wheeler wrote:
> I would be very concerned about this dyad. First, if baby is being
> supplemented with 2 oz x6 each day, that is a large portion of his
> intake. Is this the mother's own ebm or a donor's ebm? If it is the
> mother's, then obviously baby is not breastfeeding effectively and
> needs evaluation and assistance.
> If this is donor milk, then mother again is having low supply and
> needs evaluation and further help.
> I do not think the domperidone is slowing down the baby's bowels.
> While it may be that the rare baby is gaining weight very well with
> only one large yellow b.m. per day, it would be far from typical and
> merits evaluation (in person).
> I do not know the exact proportions of bilirubin in meconium vs
> breastmilk stools. I do believe the meconium has a large amount and
> that later stools have less. But my understanding
> is that the baby could still be reabsorbing some bili from the stools.
> If baby had a traumatic birth, as you say, perhaps there was alot of
> bruising, cephalhematoma, or similar which would add to the bilirubin
> load.
> Any time a mother is concerned and when there are the above red flags,
> this would warrant a thorough in-person evaluation of the dyad.
> Let us know how it goes.
> Laurie Wheeler RN MN IBCLC
> Mississippi, s.e. Usa
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End of LACTNET Digest - 8 Jan 2008 - Special issue (#2008-44)
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