LACTNET automatic digest system <[log in to unmask]> wrote: There are 3 messages totalling 199 lines in this issue.
Topics of the day:
1. Torticollis
2. POTS
3. LACTNET Digest - 27 Sep 2006 - Special issue (#2006-1084)
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Date: Wed, 27 Sep 2006 18:21:38 -0700
From: Denise and Steve
Subject: Re: Torticollis
I ask because I have had personal experience with this. My daughter had
it though not to the degree that this baby does. I took her to a very
experienced Registered Massage Therapist. It was very painful for my
daughter to have this treatment done but with about 5 or 6 treatments
lasting about 10 minutes each it was cleared up. The RMT said that she
had treated another baby with severe Torticollis and it took about 6
months to clear up.
I look forward to seeing how this baby does.
Denise Kelly-Jones
Postpartum doula, newbie breastfeeding counsellor
Ann Conlon-Smith wrote:
>
>
>In a message dated 9/26/2006 9:11:40 P.M. Pacific Standard Time,
>[log in to unmask] writes:
>
>How is the torticollis being treated?
>Denise
>
>
>
>Good question... the Cranial Sacral therapist discharged them after two
>sessions, saying she did not think she could really help the baby and sent them
>to the Dysphasia clinic instead. I will ask this question too... thanks, Ann
>
>Ann Conlon-Smith, IBCLC
>Triangle Lactation Consultants
>919-845-8826
>_www.trianglelactation.com_ (http://www.trianglelactation.com/)
>
>
>
>
>
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------------------------------
Date: Wed, 27 Sep 2006 19:50:44 -0700
From: Kellie Whitney
Subject: POTS
I have not personally heard of this. However, I cannot imagine that breastfeeding while lying down could be more "taxing" on the mother than formula feeding. If the nausea is related to breastfeeding, I guess that could be a point in favor of weaning (not really, just trying to be generous).
I have always been perplexed by mothers who say that they pump or give formula because it is "easier", barring extreme breastfeeding difficulties. Taking the baby to bed and nursing was is usually SO much easier! When I was an exhausted, very anemic mama of a newborn and a 22-month-old, I set up camp with a mattress on the living room floor. My toddler could listen to stories, play with toys, snuggle, nurse, or (gasp!) watch a movie in the childproofed room while I nursed the baby and rested. By very anemic, I mean that my levels were frightfully low, and I could hardly get up the energy to change a diaper. I have had anemia most of my life, no reason was ever found. I have a very iron-rich diet. Thankfully, my cholesterol levels have always been normal, even though I eat red meat almost daily to combat the anemia.
I have read some information lately that indicates that the "500 kCal" amount needed to maintain berastfeeding in a mother's diet may not be accurate. We women may be much more efficient than that! I just do not understand the argument that breastfeeding "saps" a mother's energy. Of course, I am not an MD or a nutritionist.
Has anyone taken into the equation the extra energy (and expense) to purchase and prepare formula or the additional health problems for the baby that would definately be a drain on mother's enregy?
Again, this is not a medical opinion, but it seems a little "wonky" to me.
Kellie Whitney, LLLL
LACTNET automatic digest system
wrote:
> I have permission to post. I have been working with a mom who was
> recently given the diagnosis of POTS- Postural othostatic Tachycardia
> Syndrome. This
> is her 2nd BF baby. After a bout of mastitis, she became extremely
> fatigued
> and would get dizzy with getting out of bed. She wouldn't be able to eat
> or
> drink r/t nausea and would come to the ED for rehydration. After much
> testing, the
> dx of POTS was given. I have never heard of it but according to her MD it
> is
> not unusual in post partum moms. It might have been triggered by her
> mastitis
> he believes and ia an autonomic nervous system dysfunction, with some
> cardiac
> involvement. He recommended weaning as he feels the BF is fatiguing her
> and
> her supply is decreasing from all the bouts of dehydation. She is supposed
> to
> get back to me regarding meds.
> Anybody heard of this?
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------------------------------
Date: Wed, 27 Sep 2006 20:09:48 -0700
From: Kellie Whitney
Subject: Re: LACTNET Digest - 27 Sep 2006 - Special issue (#2006-1084)
Ahh, tandem nursing! It's different for every dyad (triad, really)
I believe than Fenugeek (sp?) is contraindicted during pregnancy. As a "veteran" tandem nurser, I get many tandem nursing questions from mothers. I had no supply issues during pregnancy. However, I know many dedicated mothers whose supply simply "dried up" duing the middle months of their pregnancy. It is a heartbreaking scenario for a dedicated nurser, but we must remember to first feed the baby.
The ear infection and teething may play a part. However, the mother sounds like she is doing everything she can to get baby nursing again. Sometimes, these mothers just need to hear that they may need to suppliment after nursing, and that their toddler will be able to nurse for nourishment after the baby is born. She has done her best, but nature works in mysterious ways. I have known a few babies who have become so frustrated trying to nurse while mama was pregnant that they ceased nurisng entirely.
I cannot imagine that pumping would be a problem during pregnancy (the prolactin receptors in the uterus are not yet receptive at this stage) but I worry that it would not do much good and only get the mother's hopes up.
I have found that many mothers in this situation need a LOT of reasurrance that they have not failed. The fact that the mom did not automatically wean when she found out she was pregnant tells us a lot about her level of dedication to her children. If she is truly "dry," a laid back attitude on her part about nursing may leave the door open for her toddler to resume nursing once the baby is born and she has more than enough milk to go around. There is nothing like an enthusiastic toddler to relieve engorgement or help with low supply :)
I know that a book reccomendation may sound trite, however...Adventures in Tandem Nursing, published by LLLI, has wonderful information about the subject. I think it is a great read for mothers in this situation, and a MUST READ for LCs. The author includes many stories from mothers across the spectrum. Those who nursed throughuot pregnancy, those who wanted to wean, and those who had to wean due to no supply, despite their best efforts.
Kellie Whitney, mama to (weaned by his choice) Mick, 4 1/2 and Ella, 2 1/2, who shows no signs of stopping any year soon!
---
Baby is 10 mos. old and was happily breastfeeding till ear infection which
was treated with antibiotics and has resolved according to ped. Baby has
not
nursed in ten days and completely refuses, arches back, screams, etc when
put
to breast. Mother is two months pregnant but pumping with Lactina, though
I
don't know how often. Also, baby is getting a molar. Mother is very
compliant, trying co-bathing, co-sleeps, skin-to-skin, etc. and this is her
third
child. I am concerned about using herbs, pumping, etc. with pregnancy.
Your
thoughts??/ thanks, Ann
Ann Conlon-Smith, IBCLC
Triangle Lactation Consultants
919-845-8826
_www.trianglelactation.com_ (http://www.trianglelactation.com/)
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End of LACTNET Digest - 27 Sep 2006 (#2006-1085)
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